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1548711500
MIRANDA LOUCKS
MURRIETA, CA
NPI
1548711500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 24435)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- MIRANDA LOUCKS M.A., CCC-SLP
25102 JEFFERSON AVE STE D
MURRIETA, CA 92562-1708
Phone number: 574-220-0034
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Mailing Address
-- MIRANDA LOUCKS M.A., CCC-SLP
25102 JEFFERSON AVE STE D
MURRIETA, CA 92562-1708
Phone number:
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