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1629644984
MIRIAM AUDELINA MIRANDA LAMADRID
MORENO VALLEY, CA
NPI
1629644984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA APCC9172)
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
Mrs. MIRIAM AUDELINA MIRANDA LAMADRID APCC
12968 FREDERICK ST STE A
MORENO VALLEY, CA 92553-5229
Phone number: 951-242-7738
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Mailing Address
Mrs. MIRIAM AUDELINA MIRANDA LAMADRID APCC
12536 PENSKE ST
MORENO VALLEY, CA 92553-5207
Phone number: 951-965-0617
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