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Individual

LUCILLE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
204 WEST STATE STREET, MONTROSE, MI 48457
(810) 639-5411
Mailing address
PO BOX 3038, 204 WEST STATE STREET,, MONTROSE, MI 48457
(810) 639-5411

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704198860
MI

Other

Enumeration date
08/17/2015
Last updated
08/17/2015
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