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1649924648
MIRANDA NICOLE LOPEZ
ORANGE, CA
NPI
1649924648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 301679)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2022-02-08
Last Update Date
2022-02-21
Business Address
MIRANDA NICOLE LOPEZ DPT
2854 N SANTIAGO BLVD STE 100
ORANGE, CA 92867-1700
Phone number: 714-771-7047
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Mailing Address
MIRANDA NICOLE LOPEZ DPT
700 W WALNUT AVE APT 60
ORANGE, CA 92868-2249
Phone number: 714-400-5628
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