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1700886025
MICHAEL MCMILLAN
SILVER CITY, NM
NPI
1700886025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NM 358)
Enumeration Date
2005-07-28
Last Update Date
2009-03-02
Business Address
MICHAEL MCMILLAN ATC
1268 E 32ND ST
SILVER CITY, NM 88061-7229
Phone number: 575-534-1919
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Mailing Address
MICHAEL MCMILLAN ATC
1268 E 32ND ST
SILVER CITY, NM 88061-7229
Phone number: 575-534-1919
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