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1811104599
MELESA RENEE MILLER
MURRAY, KY
NPI
1811104599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A00876)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- MELESA RENEE MILLER PTA
716 POPLAR ST
MURRAY, KY 42071-2546
Phone number: 270-762-1854
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Mailing Address
-- MELESA RENEE MILLER PTA
PO BOX 3203
PADUCAH, KY 42002-3203
Phone number: 270-575-0482
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