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1386135895
MANUEL MIRANDA LATA
AUBURN, WA
NPI
1386135895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: WA RN60680518)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
Mr. MANUEL MIRANDA LATA RN
505 29TH ST SE
AUBURN, WA 98002-7541
Phone number: 253-876-7650
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Mailing Address
Mr. MANUEL MIRANDA LATA RN
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188-2547
Phone number: 206-901-2000
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