Individual
MR. GARRETT BRUCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 E COHAWKIN RD, CLARKSBORO, NJ 08020-1344
(609) 254-6609
Mailing address
28 E COHAWKIN RD, CLARKSBORO, NJ 08020-1344
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
800234804
WV
Other
Enumeration date
09/16/2020
Last updated
10/13/2021
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