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1386013621
TIMOTHY MIRANDA
FAIRFIELD, CA
NPI
1386013621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2015-09-16
Last Update Date
2019-10-30
Business Address
MR. TIMOTHY MIRANDA
744 EMPIRE ST STE 160
FAIRFIELD, CA 94533-5562
Phone number: 707-399-9413
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Mailing Address
MR. TIMOTHY MIRANDA
2730 SHADELANDS DR BLDG 10
WALNUT CREEK, CA 94598-2538
Phone number:
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