MIRANDA OMOREGIE

KENNESAW, GA
NPI1053995761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: GA  CN0000065682)
Enumeration Date2021-05-09
Last Update Date2021-05-09
Business Address
MIRANDA OMOREGIE
4177 HAVENWOOD CT NW
KENNESAW, GA 30144-7343
Phone number: 678-290-0070
Mailing Address
MIRANDA OMOREGIE
PO BOX 2754
KENNESAW, GA 30156-9113
Phone number: 678-290-0070
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