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1992155774
JOSE MIRANDA
SALEM, OR
NPI
1992155774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
Mr. JOSE MIRANDA
3030 CENTER ST NE
SALEM, OR 97301-4528
Phone number: 503-373-3762
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Mailing Address
Mr. JOSE MIRANDA
3030 CENTER ST NE
SALEM, OR 97301-4528
Phone number: 503-373-3762
Copy
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