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1780447680
MIRANDA WADE
AUGUSTA, GA
NPI
1780447680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT010515)
Additional Taxonomies
225700000X Massage Therapist
Enumeration Date
2024-02-02
Last Update Date
2025-03-21
Business Address
MIRANDA WADE
3540 WHEELER RD STE 314
AUGUSTA, GA 30909-1885
Phone number: 478-206-7146
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Mailing Address
MIRANDA WADE
PO BOX 5326
AUGUSTA, GA 30916-5326
Phone number: 478-206-7146
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