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1043952260
OSVALDO I MIRANDA MEDINA
SAN JOSE, CA
NPI
1043952260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: 101y00000x)
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
OSVALDO I MIRANDA MEDINA
1185 PEDRO ST
SAN JOSE, CA 95126-3757
Phone number: 510-963-0986
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Mailing Address
OSVALDO I MIRANDA MEDINA
5564 LEAN AVE
SAN JOSE, CA 95123-6108
Phone number: 408-661-7353
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