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1790094647
JOSE L MIRANDA
POMONA, CA
NPI
1790094647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-09-27
Last Update Date
2012-10-24
Business Address
-- JOSE L MIRANDA
790 E BONITA AVE
POMONA, CA 91767-1906
Phone number: 909-625-7207
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Mailing Address
-- JOSE L MIRANDA
790 E BONITA AVE
POMONA, CA 91767-1906
Phone number: 909-625-7207
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