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Miss Miranda June Mathis
Student in an Organized Health Care Education/Training Program in Gladwin, Michigan
NPI 1225803463

Miranda June Mathis is a Student in an Organized Health Care Education/Training Program based in Gladwin, MI. Miranda June Mathis practices in Gladwin, MI. The NPI Number for Miranda June Mathis is 1225803463 and holds a License No. (Michigan).

The current practice location address for Miranda June Mathis is 1234 W Cedar Ave, Gladwin, MI and can be reached out via phone at 989-709-5414.

Location: 1234 W Cedar Ave, Gladwin, MI, 48624-7022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225803463
Provider Name
Miranda June Mathis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1234 W Cedar Ave, Gladwin, MI, 48624-7022
Phone Number
989-709-5414
Fax Number
Provider Enumeration Date
11/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1234 W Cedar Ave
City
Gladwin
State
Michigan
Zip
48624-1818
Phone Number
989-709-5414
Fax Number
person
Provider Business Mailing Address Details
Address
1234 W Cedar Ave
City
Gladwin
State
Michigan
Zip
48624-1818
Phone Number
989-709-5414
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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