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1134326127
RANDY SAMUELS THOMPSON
WOODLAND HILLS, CA
NPI
1134326127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-02
Last Update Date
2013-05-24
Business Address
-- RANDY SAMUELS THOMPSON
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364-3301
Phone number: 818-657-3123
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Mailing Address
-- RANDY SAMUELS THOMPSON
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364-3301
Phone number: 818-657-3123
Copy
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