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1720018278
DWAINE MILLER
LAKE CHARLES, LA
NPI
1720018278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
DWAINE MILLER PT
3212 2ND AVE
LAKE CHARLES, LA 70601
Phone number: 337-478-8161
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Mailing Address
DWAINE MILLER PT
3212 2ND AVE
LAKE CHARLES, LA 70601
Phone number:
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