MIRANDA PAIGE WALLACE

HURRICANE, UT
NPI1164134094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies101Y00000X Counselor
Enumeration Date2022-12-22
Last Update Date2022-12-22
Business Address
MIRANDA PAIGE WALLACE
4 S 2600 W STE 6
HURRICANE, UT 84737-3247
Phone number: 435-229-8405
Mailing Address
MIRANDA PAIGE WALLACE
101 S MAIN ST
HURRICANE, UT 84737-2631
Phone number: 318-355-3099
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