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1366892598
PETER MICHAEL MILLARD
MEDFORD, OR
NPI
1366892598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201903896NP-PP)
Enumeration Date
2016-06-19
Last Update Date
2022-10-13
Business Address
PETER MICHAEL MILLARD CNP
910 S CENTRAL AVE
MEDFORD, OR 97501-7822
Phone number: 541-618-1380
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Mailing Address
PETER MICHAEL MILLARD CNP
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-690-3555
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