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1871115469
KRISTINA DIANE MILLER
PORTLAND, OR
NPI
1871115469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-10193960)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
KRISTINA DIANE MILLER ATC
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203-5798
Phone number: 425-652-0877
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Mailing Address
KRISTINA DIANE MILLER ATC
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203-5798
Phone number: 425-652-0877
Copy
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