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1073554168
CONRAD J R MIRANDA
NORTHRIDGE, CA
NPI
1073554168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA C51139)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
Dr. CONRAD J R MIRANDA M.D.
9900 BALBOA BLVD SUITE A
NORTHRIDGE, CA 91325-5403
Phone number: 818-701-0017
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Mailing Address
Dr. CONRAD J R MIRANDA M.D.
9900 BALBOA BLVD SUITE A
NORTHRIDGE, CA 91325-5403
Phone number: 818-701-0017
Copy
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