TIA MILLER

FORT WAYNE, IN
NPI1093186116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  4840149200)
Enumeration Date2015-10-15
Last Update Date2015-10-15
Business Address
-- TIA MILLER
6903 ORDWAY DR
FORT WAYNE, IN 46815-7753
Phone number: 260-493-7873
Mailing Address
-- TIA MILLER
6903 ORDWAY DR
FORT WAYNE, IN 46815-7753
Phone number:
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