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Individual

JESSICA LYNN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
11588 S BARRY RD, BANNISTER, MI 48807-9754
(989) 330-5171
Mailing address
11588 S BARRY RD, BANNISTER, MI 48807-9754
(989) 330-5171

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5502001339
MI

Other

Enumeration date
12/09/2013
Last updated
12/09/2013
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