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1205425634
RANDY ROUSH
SACRAMENTO, CA
NPI
1205425634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-ICZJTE)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-01-11
Last Update Date
2024-03-05
Business Address
RANDY ROUSH
720 HOWE AVE
SACRAMENTO, CA 95825-4669
Phone number: 916-376-7736
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Mailing Address
RANDY ROUSH
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number:
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