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Individual

MONITQUE LASHONE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1459 WILLIAMSON RD, GRIFFIN, GA 30224-1001
(678) 618-0841
Mailing address
125 AMBERWOOD LN, GRIFFIN, GA 30223-1001
(678) 618-0841

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN065371
GA

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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