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1316270168
IAN DOUGLAS MILLER
GALENA, KS
NPI
1316270168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2009026344)
Enumeration Date
2009-09-11
Last Update Date
2016-07-06
Business Address
-- IAN DOUGLAS MILLER PA
198 FOUR STATES DR. SUITE 1
GALENA, KS 66739-4305
Phone number: 620-783-2356
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Mailing Address
-- IAN DOUGLAS MILLER PA
198 FOUR STATES DR STE 1
GALENA, KS 66739-4305
Phone number: 620-783-2356
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