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Individual

MR. LYLE J MILLER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
5541 LONE TREE WAY, SUITE 127, BRENTWOOD, CA 94513-5363
(925) 890-1665
Mailing address
5428 PIPER LN, OAKLEY, CA 94561-3121
(925) 890-1665

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#54053
CA

Other

Enumeration date
04/22/2016
Last updated
04/22/2016
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