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1780010439
CHARLES NATHAN MILLER
JONESBORO, AR
NPI
1780010439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR AR 1766)
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
-- CHARLES NATHAN MILLER
1699 STADIUM BLVD SUITE H
JONESBORO, AR 72401-5442
Phone number: 870-336-0021
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Mailing Address
-- CHARLES NATHAN MILLER
768 COUNTY ROAD 7592
JONESBORO, AR 72401-7777
Phone number: 870-974-3875
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