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1184116154
JOHN RANDOLPH WASHINGTON
OCEANSIDE, CA
NPI
1184116154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RADT1)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
Mr. JOHN RANDOLPH WASHINGTON RADT 1
1905 APPLE ST
OCEANSIDE, CA 92054-4455
Phone number: 760-453-1280
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Mailing Address
Mr. JOHN RANDOLPH WASHINGTON RADT 1
1905 APPLE ST.
OCEANSIDE, CA 92054
Phone number: 619-602-3139
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