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1821281031
JUDITH DIANNE MILLER
DALLAS, TX
NPI
1821281031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
Additional Taxonomies
225200000X Physical Therapy Assistant
Enumeration Date
2007-08-21
Last Update Date
2007-10-27
Business Address
-- JUDITH DIANNE MILLER pta
325 N. ST.PAUL SUITE 4200
DALLAS, TX 75201-4200
Phone number: 866-217-0907
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Mailing Address
-- JUDITH DIANNE MILLER pta
PO BOX 2782
RANCHOS DE TAOS, NM 87557-2782
Phone number: 505-770-0525
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