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1144534660
RANDY CLAY
SANTA ROSA, CA
NPI
1144534660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-27
Last Update Date
2010-07-27
Business Address
-- RANDY CLAY
1207 CLEVELAND AVE
SANTA ROSA, CA 95401-4729
Phone number: 707-571-2215
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Mailing Address
-- RANDY CLAY
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-571-2215
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