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1962963504
JEFFERY LUKE MILLER
KINGSPORT, TN
NPI
1962963504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 01231)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
Mr. JEFFERY LUKE MILLER COTA/L, ATP
100 NETHERLAND LN
KINGSPORT, TN 37660-7245
Phone number: 423-245-0360
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Mailing Address
Mr. JEFFERY LUKE MILLER COTA/L, ATP
3441 HIGHWAY 126
BLOUNTVILLE, TN 37617-4525
Phone number: 423-844-0939
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