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1023487576
RANDI PARKER
CANNON AFB, NM
NPI
1023487576
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Former Name
RANDI SELLEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.015731)
Enumeration Date
2015-09-15
Last Update Date
2024-11-05
Business Address
RANDI PARKER LCSW
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Phone number: 815-644-0202
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Mailing Address
RANDI PARKER LCSW
232 WILMINGTON CIR
CLOVIS, NM 88101-9395
Phone number: 815-644-0202
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