Omar Lee Miranda M.ED.

NPI 1134491962 - Counselor - 101YM0800X

NPI Details
NPI 1134491962
Gender Male
Enumeration Date 02/09/2012
Last Updated 02/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
155 EARL ST
PLAINVILLE GA, 30733-9672, US
Phone (770) 354-2912
Fax (706) 234-4943
Business Location
155 EARL ST
PLAINVILLE GA, 30733-9672, US
Phone (770) 354-2912
Fax (706) 234-4943
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
Remove 1134491962 NPI Number
 

According to our database, Omar Lee Miranda M.ED. NPI is 1134491962, taxonomy code is 101YM0800X Omar Lee Miranda M.ED. physically located at 155 Earl St, Plainville GA, 30733-9672. NPI Number Omar Lee Miranda M.ED. has the Individual type.

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1134491962 NPI number is provided on an as is basis without warranty of any kind. 1134491962 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Lee Miranda M.ED. are for informational purposes only.