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1780962951
MOISES MIRANDA
LA PUENTE, CA
NPI
1780962951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW66067)
Enumeration Date
2011-07-21
Last Update Date
2023-11-06
Business Address
MOISES MIRANDA
13933 RATH ST
LA PUENTE, CA 91746-1631
Phone number: 626-622-5152
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Mailing Address
MOISES MIRANDA
13933 RATH ST
LA PUENTE, CA 91746-1631
Phone number: 626-622-5152
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