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Individual

MRS. ANGELA M MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
3605 NE LOOP 286 STE 200, PARIS, TX 75460-5091
(903) 737-4337
Mailing address
907 E STAR ST, CLARKSVILLE, TX 75426-2345
(817) 455-3989

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337875
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
337875
LICENSED VOCATIONAL NURSE
TX
Enumeration date
03/14/2018
Last updated
03/14/2018
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