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1114687670
STEVEN L MIRANDA
REDDING, CA
NPI
1114687670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-26
Last Update Date
2021-12-26
Business Address
STEVEN L MIRANDA
3617 RICARDO AVE
REDDING, CA 96002-2653
Phone number: 530-722-1114
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Mailing Address
STEVEN L MIRANDA
3617 RICARDO AVE
REDDING, CA 96002-2653
Phone number: 530-722-1114
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