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1992860837
BRIAN MICHAEL MIRACLE
LITTLE ROCK AFB, AR
NPI
1992860837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2006-12-22
Last Update Date
2020-07-07
Business Address
Dr. BRIAN MICHAEL MIRACLE DPT, OCS
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099-4933
Phone number: 501-987-7466
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Mailing Address
Dr. BRIAN MICHAEL MIRACLE DPT, OCS
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099-4933
Phone number: 501-987-7466
Copy
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