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Individual

MELISSA OLIVIA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATS

Contact information

Practice address
221 CHARLOTTE AVE, SUFFOLK, VA 23434-5452
(757) 754-0171
Mailing address
221 CHARLOTTE AVE, SUFFOLK, VA 23434-5452
(757) 754-0171

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
753
OK

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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