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1588237812
MIRANDA MERRILL
FRESNO, CA
NPI
1588237812
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Former Name
MIRANDA FAUCETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
MIRANDA MERRILL ATC
1620 E BULLDOG LANE M/S OF 87
FRESNO, CA 93740-0001
Phone number: 559-278-2643
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Mailing Address
MIRANDA MERRILL ATC
382 NORTH MCKELVY AVENUE #239
CLOVIS, CA 93611
Phone number: 425-293-4904
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