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1356094148
LISA M MILLER
POCATELLO, ID
NPI
1356094148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 70995)
Enumeration Date
2022-02-01
Last Update Date
2024-11-20
Business Address
LISA M MILLER NP
1950 E CLARK ST STE 110
POCATELLO, ID 83201-3315
Phone number: 208-252-5021
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Mailing Address
LISA M MILLER NP
1950 E CLARK ST STE 110
POCATELLO, ID 83201-3315
Phone number: 208-252-5021
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