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Individual

GINA MARIE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3423 N CENTREPOINT WAY UNIT G103, MERIDIAN, ID 83646-6722
(309) 643-3712
Mailing address
3423 N CENTREPOINT WAY UNIT G103, MERIDIAN, ID 83646-6722

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/29/2012
Last updated
01/09/2020
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