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1295388361
STACY HATSUMI MILLER
SACRAMENTO, CA
NPI
1295388361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
STACY HATSUMI MILLER ATC
1919 SPANOS CT
SACRAMENTO, CA 95825-3981
Phone number: 916-568-3041
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Mailing Address
STACY HATSUMI MILLER ATC
12147 BLAKE RD
WILTON, CA 95693-8534
Phone number: 916-996-8861
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