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Mary Miranda
NPI 1427275999 · on the registry since 2007
Practice
- Address
- 1115 Fairgrounds Rd
Eldon R-I And Special Learning Center
Jefferson City, MO 65109 - Phone
- (573) 392-8000
- Fax
- (573) 392-8080
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri