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Individual

ANGELA LYNN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-3798
(320) 762-1511
(320) 762-6471
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-3798
(320) 762-1511
(320) 762-6471

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-001861
IL

Other

Enumeration date
05/16/2006
Last updated
04/21/2014
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