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1003399551
DARREL MARTIN MIRANDA
NORTHRIDGE, CA
NPI
1003399551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-11
Last Update Date
2023-05-18
Business Address
DARREL MARTIN MIRANDA
8330 RESEDA BLVD
NORTHRIDGE, CA 91324-4619
Phone number: 818-996-1051
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Mailing Address
DARREL MARTIN MIRANDA
19609 SHERMAN WAY APT 203
RESEDA, CA 91335-3430
Phone number: 818-854-1263
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