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1548876469
RYLIE MICHELLE MILLER
BOISE, ID
NPI
1548876469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID AT-711)
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
RYLIE MICHELLE MILLER LAT, ATC
1910 UNIVERSITY DR
BOISE, ID 83725-0002
Phone number: 208-426-2403
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Mailing Address
RYLIE MICHELLE MILLER LAT, ATC
2106 S DENVER AVE
BOISE, ID 83706-4502
Phone number: 702-449-8909
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