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1023135456
AMANDA DELOACH MILLER
TIFTON, GA
NPI
1023135456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT009005)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA DELOACH MILLER MPT
1958 OLD OCILLA RD
TIFTON, GA 31794-1645
Phone number: 229-386-0421
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Mailing Address
Mrs. AMANDA DELOACH MILLER MPT
1704 FREDERICA RD APT 231
SAINT SIMONS ISLAND, GA 31522-2552
Phone number: 229-251-2336
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