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1396903878
MAMTA M MILES
FAIRFAX, VA
NPI
1396903878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: DC RN1006629)
Enumeration Date
2008-05-30
Last Update Date
2011-09-14
Business Address
-- MAMTA M MILES
3600 JOSEPH SIEWICK DR
FAIRFAX, VA 22033-1709
Phone number: 703-391-3129
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Mailing Address
-- MAMTA M MILES
PO BOX 37090
BALTIMORE, MD 21297-3090
Phone number: 703-295-9360
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