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Individual

MILES SAUTEBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSC.D

Contact information

Practice address
604 N HIGH ST, COLUMBIA, TN 38401-3216
(615) 219-9924
Mailing address
3085 COMMONWEALTH DR APT 1333, SPRING HILL, TN 37174-3127

Taxonomy

Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
4361311
TN

Other

Enumeration date
07/25/2019
Last updated
07/25/2019
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