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Individual

CASEY JADE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
47 6TH AVE, LA GRANGE, IL 60525-2499
(708) 469-9988
Mailing address
911 CENTRAL PKWY N, SAN ANTONIO, TX 78232-5052
(800) 404-6050

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038012138
IL

Other

Enumeration date
06/20/2012
Last updated
09/17/2013
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