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1720824766
MARTIN MIRANDA
FULLERTON, CA
NPI
1720824766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 147269)
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
MARTIN MIRANDA
806 W ROBERTA AVE
FULLERTON, CA 92832-3145
Phone number: 714-331-1191
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Mailing Address
MARTIN MIRANDA
806 W ROBERTA AVE
FULLERTON, CA 92832-3145
Phone number: 714-331-1191
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