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Individual

CAROLYN VICTORIA MILLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
510 MAIN ST, GORHAM, ME 04038-1339
(207) 370-7787
(844) 231-8920
Mailing address
83 QUALEY RD, GRAY, ME 04039-7707
(508) 965-0875

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1348
ME
133V00000X
Registered Dietitian
NU4313
MA

Other

Enumeration date
06/21/2017
Last updated
03/17/2018
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