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1194569293
RANDOLPH FARASE
SACRAMENTO, CA
NPI
1194569293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT143296)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
RANDOLPH FARASE
2750 SUTTERVILLE RD
SACRAMENTO, CA 95820-1093
Phone number: 916-452-3981
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Mailing Address
RANDOLPH FARASE
2750 SUTTERVILLE RD # COTTAGE1
SACRAMENTO, CA 95820-1093
Phone number: 916-452-3981
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