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1740979145
SOLANA PIPER MIRATA
UKIAH, CA
NPI
1740979145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2023-05-02
Last Update Date
2024-04-24
Business Address
SOLANA PIPER MIRATA
1045 S STATE ST
UKIAH, CA 95482-5820
Phone number: 707-234-3270
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Mailing Address
SOLANA PIPER MIRATA
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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