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1982904983
MIRANDA IRENE PAINE-JESAM
ABITA SPRINGS, LA
NPI
1982904983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225A00000X Music Therapist
(Licence: LA 09424)
Enumeration Date
2010-10-25
Last Update Date
2010-10-25
Business Address
-- MIRANDA IRENE PAINE-JESAM MT-BC
21236 ORME ST
ABITA SPRINGS, LA 70420-3430
Phone number: 972-762-3403
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Mailing Address
-- MIRANDA IRENE PAINE-JESAM MT-BC
21236 ORME ST
ABITA SPRINGS, LA 70420-3430
Phone number: 972-762-3403
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