MARK MIRANDA

FORT GORDON, GA
NPI1972136604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1074050)
Enumeration Date2020-02-21
Last Update Date2025-07-21
Business Address
MARK MIRANDA CRNA
300 E HOSPITAL RD
FORT GORDON, GA 30905
Phone number: 706-787-5811
Mailing Address
MARK MIRANDA CRNA
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4499
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