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1992394928
JESSE MILLER
POST FALLS, ID
NPI
1992394928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-6537)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
JESSE MILLER PTA
3372 E JENALAN
POST FALLS, ID 83854-7787
Phone number: 208-628-8700
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Mailing Address
JESSE MILLER PTA
14111 N WANDERMERE ESTATES LN
SPOKANE, WA 99208-4993
Phone number:
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