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1346462157
VICTOR JEROME MILLER
AMES, IA
NPI
1346462157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA 00293)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mr. VICTOR JEROME MILLER ATC
1800 SOUTH 4TH STREET
AMES, IA 50011
Phone number: 515-294-4307
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Mailing Address
Mr. VICTOR JEROME MILLER ATC
2801 SW 28TH STREET
ANKENY, IA 50023
Phone number: 515-289-3791
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