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Individual

CORRIE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
12 ROUSCH DR, MORGANTOWN, WV 26501-3872
(304) 598-6099
(304) 974-3006
Mailing address
12 ROUSCH DR, MORGANTOWN, WV 26501-3872
(304) 598-6099
(304) 974-3006

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29801
WV
172V00000X
Community Health Worker
29801
WV

Other

Enumeration date
11/15/2022
Last updated
08/31/2023
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