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Organization
MIRANDA CHIROPRACTIC SPECIALTY GROUP INC.
Active
Organization
MIRANDA CHIROPRACTIC SPECIALTY GROUP INC.
Active
Other names
Chiropractic Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMUND GALLANOSA MIRANDA D.C. (PRESIDENT)
(619) 846-5866
Entity
Organization
Contact information
Practice address
9855 ERMA RD, SUITE 129, SAN DIEGO, CA 92131-3001
(858) 549-1541
(858) 549-1572
Mailing address
9855 ERMA RD, SUITE 129, SAN DIEGO, CA 92131-3001
(858) 549-1541
(858) 549-1572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25256
CA
Other
Enumeration date
12/10/2009
Last updated
05/10/2010
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