MIRANDA D SAUCEDA

ADVANCE, MO
NPI1952582223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2007-11-15
Last Update Date2007-11-15
Business Address
-- MIRANDA D SAUCEDA
502 WEST STURDIVANT
ADVANCE, MO 63730-0137
Phone number: 573-722-9191
Mailing Address
-- MIRANDA D SAUCEDA
502 WEST STURDIVANT PO BOX 137
ADVANCE, MO 63730-0137
Phone number: 573-722-9191
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