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Individual

VALERIE JANE MIELKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2850 N FEDERAL HWY FL 2, LIGHTHOUSE POINT, FL 33064-6849
(954) 942-0321
Mailing address
9745 HERONS NEST CT APT 302, LAKE WORTH, FL 33467-5277
(920) 680-4166

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4694
FL

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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