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1235698192
MYRANDA BROADWATER
SAN ANTONIO, TX
NPI
1235698192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
MYRANDA BROADWATER
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
MYRANDA BROADWATER
7710 W IH 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
Copy
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