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Individual

MEDJINE M MIRAMBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
545 N BENJAMIN LN, BOISE, ID 83704-9623
(208) 322-1026
Mailing address
2244 PELHAM PASS, DACULA, GA 30019-9502

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011866
GA

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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