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1972200178
MIRANDA DESMOND
ELMORE, AL
NPI
1972200178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL 10827)
Enumeration Date
2023-02-08
Last Update Date
2024-08-21
Business Address
MIRANDA DESMOND
280 MT HEBRON RD
ELMORE, AL 36025-1526
Phone number: 334-567-8484
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Mailing Address
MIRANDA DESMOND
280 MT HEBRON RD
ELMORE, AL 36025-1526
Phone number: 334-567-8484
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