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1225697147
CHRISTIAN RICARDO MIRANDA
CANBY, OR
NPI
1225697147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: OR 63269)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
CHRISTIAN RICARDO MIRANDA DPT
200 S HAZEL DELL WAY STE 210
CANBY, OR 97013-7828
Phone number: 503-263-9550
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Mailing Address
CHRISTIAN RICARDO MIRANDA DPT
8833 SW 30TH AVE APT 116
PORTLAND, OR 97219-4066
Phone number: 503-422-7816
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