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Individual

RUTH M. MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1218 S PUEBLO BLVD, PUEBLO, CO 81005-1593
(719) 566-1277
(505) 368-5502
Mailing address
3596 36TH LN, AVONDALE, CO 81022-9761
(719) 569-2224

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0000672
CO
231H00000X
Audiologist
1584
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P8003
NM
Enumeration date
03/07/2007
Last updated
04/18/2013
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