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1003241563
RUSSELL MILLER
OLYMPIA, WA
NPI
1003241563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: WA PS 60371032)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
-- RUSSELL MILLER CP
3508 12TH AVE NE
OLYMPIA, WA 98506-5218
Phone number: 360-459-1099
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Mailing Address
-- RUSSELL MILLER CP
3508 12TH AVE NE
OLYMPIA, WA 98506-5218
Phone number: 360-459-1099
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