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1639359961
JESUS C. MIRANDA
CLACKAMAS, OR
NPI
1639359961
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Professional Name
J. CARLOS MIRANDA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist Orthopedic
(Licence: OR 5547)
Enumeration Date
2007-11-03
Last Update Date
2009-12-16
Business Address
JESUS C. MIRANDA PT, DPT, OCS
10151 SE SUNNYSIDE RD STE 310
CLACKAMAS, OR 97015-6913
Phone number: 503-496-1058
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Mailing Address
JESUS C. MIRANDA PT, DPT, OCS
10151 SE SUNNYSIDE RD STE 310
CLACKAMAS, OR 97015-6913
Phone number: 503-496-1058
Copy
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