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1831319573
JEANETTE LYNN DE MIRANDA
DAVIE, FL
NPI
1831319573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA19844)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
MRS. JEANETTE LYNN DE MIRANDA P.T.A.
1 LAREDO PL
DAVIE, FL 33324-5514
Phone number: 954-382-0286
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Mailing Address
MRS. JEANETTE LYNN DE MIRANDA P.T.A.
1 LAREDO PL
DAVIE, FL 33324-5514
Phone number: 954-382-0286
Copy
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