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1780433912
DIEGO JULIAN MIRANDA
MERIDIAN, ID
NPI
1780433912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID 10507)
Enumeration Date
2024-05-20
Last Update Date
2024-08-28
Business Address
DIEGO JULIAN MIRANDA LPC
1047 S WELLS ST STE 107
MERIDIAN, ID 83642-7997
Phone number: 208-702-1889
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Mailing Address
DIEGO JULIAN MIRANDA LPC
1047 S WELLS ST STE 107
MERIDIAN, ID 83642-7997
Phone number: 208-646-1077
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