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Individual

SUMMER MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33142 CAMAS SWALE RD, CRESWELL, OR 97426-9732
(541) 430-5230
Mailing address
PO BOX 191, AZALEA, OR 97410-0191

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201030430LPN
OR

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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