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1134519010
CARMEN MIRANDA
SAN JUAN, PR
NPI
1134519010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: PR 5633)
Enumeration Date
2015-01-29
Last Update Date
2015-01-29
Business Address
Mrs. CARMEN MIRANDA
RR 2 BOX 11
SAN JUAN, PR 00926-9767
Phone number: 787-625-2900
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Mailing Address
Mrs. CARMEN MIRANDA
12 CALLE CASCADA
GUAYNABO, PR 00969-3610
Phone number: 787-625-2900
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