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1902449069
MIRANDA SANTIAGO
FULLERTON, CA
NPI
1902449069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 91658)
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
MIRANDA SANTIAGO
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831-3846
Phone number: 714-680-9000
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Mailing Address
MIRANDA SANTIAGO
PO BOX 919
FULLERTON, CA 92836-0919
Phone number: 714-680-9000
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