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1598369795
MICHAEL JOHN MILLER
FAIRLESS HILLS, PA
NPI
1598369795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RTO000476)
Enumeration Date
2020-11-28
Last Update Date
2020-11-28
Business Address
MICHAEL JOHN MILLER ATC
611 WISTAR RD
FAIRLESS HILLS, PA 19030-4105
Phone number: 484-437-4003
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Mailing Address
MICHAEL JOHN MILLER ATC
1133 NESHAMINY VALLEY DR
BENSALEM, PA 19020-1222
Phone number: 484-437-4003
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