MIRANDA BASTO

LAWRENCEVILLE, GA
NPI1538965256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  13251)
Enumeration Date2025-02-22
Last Update Date2025-07-25
Business Address
MIRANDA BASTO PAC
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 30043-5925
Phone number: 770-237-3475
Mailing Address
MIRANDA BASTO PAC
1900 RIVERSIDE PKWY
LAWRENCEVILLE, GA 30043-5925
Phone number: 770-237-3475
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