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1003378944
MIRANDA G IDEAL
ORANGE, CA
NPI
1003378944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 845670)
Enumeration Date
2019-04-01
Last Update Date
2023-01-24
Business Address
MIRANDA G IDEAL CRNA
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-880-7812
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Mailing Address
MIRANDA G IDEAL CRNA
200 S MANCHESTER AVE STE 300
ORANGE, CA 92868-3219
Phone number: 714-456-2986
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