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1821089061
WAYNE M MILLS
MERIDIAN, ID
NPI
1821089061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID RPT-048)
Enumeration Date
2005-11-04
Last Update Date
2007-07-09
Business Address
-- WAYNE M MILLS P.T.
40 W FRANKLIN RD C/O COMMUNICARE
MERIDIAN, ID 83642-2965
Phone number: 208-861-3648
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Mailing Address
-- WAYNE M MILLS P.T.
9518 SCORPIO ST
BOISE, ID 83709-4745
Phone number: 208-322-7660
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