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1598720997
FRED P MILLER
GOODING, ID
NPI
1598720997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID NP104)
Enumeration Date
2006-04-19
Last Update Date
2018-03-05
Business Address
FRED P MILLER FNP
425 IDAHO STREET
GOODING, ID 83330
Phone number: 208-934-5900
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Mailing Address
FRED P MILLER FNP
PO BOX 447
GOODING, ID 83330
Phone number: 208-934-5900
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