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Individual

JOSEPH ALBERT MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
20 S 41ST ST, APT 158, COUNCIL BLUFFS, IA 51501-4701
(712) 660-1146
Mailing address
20 S 41ST ST, APT 158, COUNCIL BLUFFS, IA 51501-4701
(712) 660-1146

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001137
IA

Other

Enumeration date
12/04/2012
Last updated
12/11/2014
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