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1689360471
MIRANDA JO RUSSELL
LAS VEGAS, NV
NPI
1689360471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NV SP-2890)
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
MIRANDA JO RUSSELL MS CCC-SLP
6900 N DURANGO DR
LAS VEGAS, NV 89149-4409
Phone number: 702-703-8608
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Mailing Address
MIRANDA JO RUSSELL MS CCC-SLP
7832 MONTOUR FALLS ST
LAS VEGAS, NV 89149-0117
Phone number: 607-354-6020
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