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1265647499
ALBERTA LERAE MILLER
JOPLIN, MO
NPI
1265647499
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Former Name
ALBERTA LERAE WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO R0512)
Enumeration Date
2007-05-11
Last Update Date
2012-01-12
Business Address
MS. ALBERTA LERAE MILLER PT
3731 VALLEY DR
JOPLIN, MO 64801-1468
Phone number: 417-439-7878
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Mailing Address
MS. ALBERTA LERAE MILLER PT
3731 VALLEY DR
JOPLIN, MO 64801-1468
Phone number: 417-439-7878
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