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1255870390
MICK MILLER
CAMP LEJEUNE, NC
NPI
1255870390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- MICK MILLER SOIDC/8403
2D RECONNAISSANCE BATTALION PSC BIX 20138
CAMP LEJEUNE, NC 28542
Phone number: 406-647-5806
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Mailing Address
-- MICK MILLER SOIDC/8403
1880 ROSWELL ST SE
SMYRNA, GA 30080-2216
Phone number: 406-647-5806
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