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1447028089
MIRANDA ICE
YAKIMA, WA
NPI
1447028089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: WA RN00175034)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
MIRANDA ICE
1208 S 48TH AVE
YAKIMA, WA 98908-8954
Phone number: 509-574-6744
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Mailing Address
MIRANDA ICE
1208 S 48TH AVE
YAKIMA, WA 98908-8954
Phone number: 509-574-6744
Copy
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