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1174160436
JUAN JOSE MIRANDA
SAN BERNARDINO, CA
NPI
1174160436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-05
Last Update Date
2021-06-30
Business Address
Mr. JUAN JOSE MIRANDA B.A.
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2721
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Mailing Address
Mr. JUAN JOSE MIRANDA B.A.
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2721
Copy
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