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Individual
MIGUEL L. MEDRANO
Active
Individual
MIGUEL L. MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA60464236
WA
363A00000X
Physician Assistant
PA16427
CA
Other
Enumeration date
06/12/2006
Last updated
08/04/2014
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