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Individual

ROMAR GIANAN MILOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
106 WEST FOURTH STREET, DIXON, MO 65459-0166
(573) 759-7149
(573) 759-2952
Mailing address
106 WEST FOURTH STREET, DIXON, MO 65459-6074
(573) 759-7149
(573) 759-2952

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006001588
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
487003907
MO
Enumeration date
03/15/2007
Last updated
02/20/2009
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