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1699132878
ELA JEANNE MIRANDA
SACRAMENTO, CA
NPI
1699132878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 29212)
Enumeration Date
2016-01-19
Last Update Date
2016-01-19
Business Address
-- ELA JEANNE MIRANDA
30 GOODWIN CIR
SACRAMENTO, CA 95823-5141
Phone number: 916-476-7745
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Mailing Address
-- ELA JEANNE MIRANDA
30 GOODWIN CIR
SACRAMENTO, CA 95823-5141
Phone number:
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