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1801444823
YOVANNY MIRANDA
RIDGECREST, CA
NPI
1801444823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
YOVANNY MIRANDA
1400 N NORMA ST
RIDGECREST, CA 93555-2575
Phone number: 760-499-7406
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Mailing Address
YOVANNY MIRANDA
1400 N NORMA ST
RIDGECREST, CA 93555-2575
Phone number: 760-499-7406
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