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1588487763
LISA MIRANDA
SAN DIEGO, CA
NPI
1588487763
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Former Name
LISA KOCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 94465)
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
LISA MIRANDA
3959 RUFFIN RD STE J
SAN DIEGO, CA 92123-1830
Phone number: 858-279-5570
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Mailing Address
LISA MIRANDA
3959 RUFFIN RD STE J
SAN DIEGO, CA 92123-1830
Phone number: 858-279-5570
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