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1396107728
JORDAN PAUL MILLER
RENTON, WA
NPI
1396107728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-03-24
Last Update Date
2016-11-04
Business Address
Mr. JORDAN PAUL MILLER
1205 N 10TH ST
RENTON, WA 98057-5577
Phone number: 425-656-4211
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Mailing Address
Mr. JORDAN PAUL MILLER
PO BOX 34876
SEATTLE, WA 98124-1876
Phone number: 425-656-5412
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