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Individual

CAMILLE LETITIA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
105 LOWRY LN, BRISTOL, TN 37620-4911
(423) 956-2868

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207972
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
38118
TN

Other

Enumeration date
02/14/2023
Last updated
02/27/2025
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