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Individual

ALAINA MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1410 S. GIN RD., ATOKA, OK 74525
(580) 889-3399
Mailing address
2535 RIDGEVIEW RD, PARIS, TX 75460-3320
(903) 249-6521

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200287120A
OK
Enumeration date
08/28/2012
Last updated
08/28/2012
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