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Individual
JONALYS LOPEZ MIRANDA
Active
Individual
JONALYS LOPEZ MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSP, PSYD
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
20044079A
IN
Other
Enumeration date
05/18/2026
Last updated
05/20/2026
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