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Individual

ASHLEY MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
110 S MAIN ST, BOX 877, BOILING SPRINGS, NC 28017-9797
(919) 333-4912
Mailing address
1320 JERSEY LN, CHARLOTTE, NC 28209-2440

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2904
NC

Other

Enumeration date
08/29/2016
Last updated
08/29/2016
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