JUAN LUIS MIRANDA

AVONDALE, AZ
NPI1679680045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  3275)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
Mr. JUAN LUIS MIRANDA pa
13075 W MCDOWELL RD STE D106
AVONDALE, AZ 85323-6437
Phone number: 800-819-8566
Mailing Address
Mr. JUAN LUIS MIRANDA pa
16410 S 41ST ST
PHOENIX, AZ 85048-0552
Phone number: 480-272-7856
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