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1184014250
RANDALL SHAW
ASHEVILLE, NC
NPI
1184014250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: NC 1448)
Enumeration Date
2015-01-28
Last Update Date
2015-01-28
Business Address
RANDALL SHAW MHS, LRT/CTRS
121 SHILOH RD
ASHEVILLE, NC 28803-1626
Phone number: 828-277-1315
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Mailing Address
RANDALL SHAW MHS, LRT/CTRS
PO BOX 802
ASHEVILLE, NC 28802-0802
Phone number: 828-277-1315
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