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1194190074
JAMES RANDOLPH
GREENVILLE, NC
NPI
1194190074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 21160)
Enumeration Date
2015-12-03
Last Update Date
2015-12-03
Business Address
-- JAMES RANDOLPH
902 COLONIAL AVE
GREENVILLE, NC 27834-1825
Phone number: 252-916-3173
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Mailing Address
-- JAMES RANDOLPH
902 COLONIAL AVE
GREENVILLE, NC 27834-1825
Phone number: 252-916-3173
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