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1912031428
BERTHA ELENA MIRANDA
LA PUENTE, CA
NPI
1912031428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- BERTHA ELENA MIRANDA
160 S 7TH AVE
LA PUENTE, CA 91746-3211
Phone number: 626-961-8971
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Mailing Address
-- BERTHA ELENA MIRANDA
160 S 7TH AVE
LA PUENTE, CA 91746-3211
Phone number: 626-961-8971
Copy
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