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Individual

MRS. SUSAN LYNNE JONES MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MACCCA

Contact information

Practice address
12725 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1306
(419) 873-1783
(419) 873-8649
Mailing address
12725 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1306
(419) 873-1783
(419) 873-8649

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00661
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000330899
ANTHEM
OH
05
2689434
OH
Enumeration date
05/10/2007
Last updated
11/15/2023
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