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Individual

LATOYA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
903 CLINTON AVE, APT 1, OAK PARK, IL 60304-1868
(217) 597-0990
Mailing address
903 CLINTON AVE, APT 1, OAK PARK, IL 60304-1868
(217) 597-0990

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005142
IL

Other

Enumeration date
09/16/2014
Last updated
09/16/2014
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