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1902439300
PAUL MIRANDA
REDDING, CA
NPI
1902439300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 101Y00000X)
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
Mr. PAUL MIRANDA RADT-1
2532 WILSON AVE APT D
REDDING, CA 96002-1741
Phone number: 530-524-8613
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Mailing Address
Mr. PAUL MIRANDA RADT-1
3590 EL PORTAL DR
REDDING, CA 96002-3143
Phone number: 530-722-1114
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