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Miranda D Sauceda
Clinic/Center in Advance, Missouri
NPI 1952582223

Miranda D Sauceda is a Clinic/Center based in Advance, MO. Miranda D Sauceda practices in Advance, MO. The NPI Number for Miranda D Sauceda is 1952582223 and holds a License No. (Missouri).

The current practice location address for Miranda D Sauceda is 502 West Sturdivant, Advance, MO and can be reached out via phone at 573-722-9191 and via fax at 573-722-9393. You can also correspond with Miranda D Sauceda through the mailing address at 502 WEST STURDIVANT, ADVANCE, MO - 63730-0137 (mailing address contact number: 573-722-9191).

Location: 502 West Sturdivant, Advance, MO, 63730-0137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952582223
Provider Name
Miranda D Sauceda
Credential
Provider Entity Type
Individual
Gender
Female
Address
502 West Sturdivant, Advance, MO, 63730-0137
Phone Number
573-722-9191
Fax Number
573-722-9393
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
502 West Sturdivant
City
Advance
State
Missouri
Zip
63730-0137
Phone Number
573-722-9191
Fax Number
573-722-9393
person
Provider Business Mailing Address Details
Address
502 West Sturdivant
City
Advance
State
Missouri
Zip
63730-0137
Phone Number
573-722-9191
Fax Number
573-722-9393
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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