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1023137619
KENNETH MIRANDA
SAN FRANCISCO, CA
NPI
1023137619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA 12479)
Enumeration Date
2007-03-28
Last Update Date
2007-07-16
Business Address
KENNETH MIRANDA LPT
375 WOODSIDE AVE BLDG W-3
SAN FRANCISCO, CA 94127-1221
Phone number: 415-753-4443
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Mailing Address
KENNETH MIRANDA LPT
375 WOODSIDE AVE BLDG W-3
SAN FRANCISCO, CA 94127-1221
Phone number: 415-753-4443
Copy
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