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1104129964
LEIA MIRANDA
CERRITOS, CA
NPI
1104129964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT81245)
Enumeration Date
2010-12-15
Last Update Date
2020-04-29
Business Address
Mrs. LEIA MIRANDA
17315 STUDEBAKER RD STE 300J
CERRITOS, CA 90703-2563
Phone number: 562-282-9103
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Mailing Address
Mrs. LEIA MIRANDA
PO BOX 724
ARTESIA, CA 90702-0724
Phone number:
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