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1316799976
LUCAS SAMUEL MILLER
PHOENIX, AZ
NPI
1316799976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-04
Last Update Date
2024-04-05
Business Address
LUCAS SAMUEL MILLER DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
LUCAS SAMUEL MILLER DO
3100 N CENTRAL AVE
PHOENIX, AZ 85012-2637
Phone number: 408-564-3155
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