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1861531956
FERNANDO MIRANDA
LAKE WORTH, FL
NPI
1861531956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT19662)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mr. FERNANDO MIRANDA RPT
4887 LEHTO LN
LAKE WORTH, FL 33461-5338
Phone number: 561-317-1872
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Mailing Address
Mr. FERNANDO MIRANDA RPT
4887 LEHTO LN
LAKE WORTH, FL 33461-5338
Phone number: 561-317-1872
Copy
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