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1245887645
KELLY MIRANDA PHYSICIAN ASSISTANT INC.
MORENO VALLEY, CA
NPI
1245887645
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Entity Type
Organization
Authorized Contact
KELLY MIRANDA
Physician Assistant
909-229-6886
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
KELLY MIRANDA PHYSICIAN ASSISTANT INC.
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5690
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Mailing Address
KELLY MIRANDA PHYSICIAN ASSISTANT INC.
12875 CANYONWIND RD
RIVERSIDE, CA 92503-9760
Phone number: 909-229-6886
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