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Individual

DANA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
Mailing address
151 KELLEE DR, DOWELLTOWN, TN 37059-2102

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
73987
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73987
LPN LICENSE
TN
Enumeration date
09/06/2017
Last updated
09/06/2017
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