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1154048593
RANDELL MELTON
LITTLE ROCK, AR
NPI
1154048593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
RANDELL MELTON
6301 FATHER TRIBOU ST
LITTLE ROCK, AR 72205-3003
Phone number: 501-319-7623
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Mailing Address
RANDELL MELTON
9219 SIBLEY HOLE RD
LITTLE ROCK, AR 72209-8874
Phone number:
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