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1164077723
LISA MARIE MILLER
ODESSA, TX
NPI
1164077723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2150086)
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
LISA MARIE MILLER PTA
1012 W MACARTHUR AVE
ODESSA, TX 79763-3341
Phone number: 432-334-0900
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Mailing Address
LISA MARIE MILLER PTA
3913 MONCLAIR AVE
ODESSA, TX 79762-7206
Phone number: 432-741-5527
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