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1306324306
VAN MCKINLEY RANDOLPH
WASHINGTON, DC
NPI
1306324306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
MR. VAN MCKINLEY RANDOLPH
1501 FORT DAVIS ST SE
WASHINGTON, DC 20020-6025
Phone number: 202-808-9369
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Mailing Address
MR. VAN MCKINLEY RANDOLPH
831 8TH ST NE
WASHINGTON, DC 20002-3616
Phone number: 202-577-3093
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