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1477001279
REGINA A MIRANDO
SAN ANTONIO, TX
NPI
1477001279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13631)
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
-- REGINA A MIRANDO LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1000
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Mailing Address
-- REGINA A MIRANDO LCDC
3031 W IH 10
SAN ANTONIO, TX 78201-5159
Phone number: 210-261-1000
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