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Individual

MRS. MIRANDA MELISSA HARDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
915 TROSPER RD SW STE 102, TUMWATER, WA 98512-6972
(360) 339-6425
Mailing address
PO BOX 14622, TUMWATER, WA 98511-4622
(360) 259-1429

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015118
WA

Other

Enumeration date
01/22/2007
Last updated
12/09/2014
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