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1396451472
DENNIS ERNESTO MIRANDA
RIDGECREST, CA
NPI
1396451472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-23
Last Update Date
2023-08-18
Business Address
DENNIS ERNESTO MIRANDA
1400 N NORMA ST STE 125
RIDGECREST, CA 93555-2577
Phone number: 760-463-5044
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Mailing Address
DENNIS ERNESTO MIRANDA
1400 N NORMA ST STE 125
RIDGECREST, CA 93555-2577
Phone number: 760-463-5044
Copy
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