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1730435041
MIRANDA CHRISTMAS
LIBERTYVILLE, IL
NPI
1730435041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: WI 3943)
Enumeration Date
2012-07-24
Last Update Date
2012-07-24
Business Address
Ms. MIRANDA CHRISTMAS CSA
801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048-3204
Phone number: 262-497-9446
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Mailing Address
Ms. MIRANDA CHRISTMAS CSA
2604 21ST ST
KENOSHA, WI 53140-1775
Phone number: 262-497-9446
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