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1043265101
TERRY W MILLER
JOPLIN, MO
NPI
1043265101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2006001065)
Enumeration Date
2006-05-24
Last Update Date
2007-10-23
Business Address
-- TERRY W MILLER CRNA
1102 W 32ND ST
JOPLIN, MO 64804
Phone number: 417-347-1078
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Mailing Address
-- TERRY W MILLER CRNA
PO BOX 3810
JOPLIN, MO 64803-3810
Phone number: 417-347-1078
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