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Individual

TROY JAMES MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3801 OAK PARK CIR SE, ROCHESTER, MN 55904-6188
(507) 206-3548
Mailing address
3801 OAK PARK CIR SE, ROCHESTER, MN 55904-6188
(507) 206-3548

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1044749-6-AFC
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1044749-6-AFC
MN
Enumeration date
09/29/2018
Last updated
09/29/2018
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