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1194841445
MICHAEL WAYNE MILLER
KINGSPORT, TN
NPI
1194841445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TN 11302)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL WAYNE MILLER LPE
1570 WAVERLY RD
KINGSPORT, TN 37664-2523
Phone number: 423-224-1300
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Mailing Address
Mr. MICHAEL WAYNE MILLER LPE
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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