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1740249515
TERRY WAYNE MILLER
TUPELO, MS
NPI
1740249515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R850611)
Enumeration Date
2006-03-21
Last Update Date
2016-12-19
Business Address
-- TERRY WAYNE MILLER NP
903 MISSISSIPPI DR
TUPELO, MS 38804-0928
Phone number: 662-377-4652
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Mailing Address
-- TERRY WAYNE MILLER NP
3411 W MAIN ST
TUPELO, MS 38801-9413
Phone number: 662-377-4652
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