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Individual

EMILIE NICOLE MILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
753 OHIO ST, DAYTON, IN 47941-8023
(765) 413-2865
Mailing address
PO BOX 127, 753 OHIO ST, DAYTON, IN 47941-0127
(765) 413-2865

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002165A
IN

Other

Enumeration date
03/06/2014
Last updated
03/06/2014
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