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1598337925
KYZA MILLER
PORTLAND, OR
NPI
1598337925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 9966)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
KYZA MILLER BS, PTA
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
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Mailing Address
KYZA MILLER BS, PTA
10915 SE STARK ST
PORTLAND, OR 97216-3348
Phone number: 503-261-1120
Copy
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