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1609924521
RAFAEL MIRANDA
SAN DIEGO, CA
NPI
1609924521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14588)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
RAFAEL MIRANDA PA
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-528-5000
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Mailing Address
RAFAEL MIRANDA PA
393 E WALNUT ST 3RD FLOOR PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 626-405-3640
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