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1710009899
YAZMIN FUENTES MIRANDA
OSHKOSH, WI
NPI
1710009899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MN 50503)
Enumeration Date
2007-04-06
Last Update Date
2018-09-28
Business Address
YAZMIN FUENTES MIRANDA M.D.
855 N WESTHAVEN DR
OSHKOSH, WI 54904-7668
Phone number: 920-303-8700
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Mailing Address
YAZMIN FUENTES MIRANDA M.D.
3860 MONROE RD
DE PERE, WI 54115-8399
Phone number: 920-496-4700
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