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1366651044
CHARLES DAVID MILLER
FREMONT, NE
NPI
1366651044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 349)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mr. CHARLES DAVID MILLER MAEd, ATC
900 N CLARKSON ST
FREMONT, NE 68025-4254
Phone number: 402-941-6359
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Mailing Address
Mr. CHARLES DAVID MILLER MAEd, ATC
2227 PARKVIEW DR
FREMONT, NE 68025-4519
Phone number: 402-366-9338
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