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1891100061
BETH MIRANDA
WICHITA, KS
NPI
1891100061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: KS 24-00665)
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
-- BETH MIRANDA ATC, LAT
707 N EMPORIA ST
WICHITA, KS 67214-3707
Phone number: 316-858-3524
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Mailing Address
-- BETH MIRANDA ATC, LAT
1451 N WOODLAND ST
WICHITA, KS 67203-2735
Phone number:
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