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Individual

MRS. NIKI M MILLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
110 HOSPITAL LANE, AFTON, WY 83110-0579
(307) 885-5852
(307) 885-5889
Mailing address
P. O. BOX 579, 110 HOSPITAL LANE, AFTON, WY 83110-0579
(307) 885-5852
(307) 885-5889

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8420A
WY

Other

Enumeration date
03/26/2007
Last updated
04/24/2012
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