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1174625750
RANDALL L MIDOCK
WINCHESTER, VA
NPI
1174625750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0803000079)
Enumeration Date
2006-09-02
Last Update Date
2008-05-29
Business Address
Dr. RANDALL L MIDOCK PhD
801 S LOUDOUN STREET
WINCHESTER, VA 22601
Phone number: 540-667-5431
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Mailing Address
Dr. RANDALL L MIDOCK PhD
102 DICK TURPIN COURT
STEPHENS CITY, VA 22655
Phone number: 540-869-2015
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