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1316562697
JAMES OLIVER RANDALL
BELLEVUE, WA
NPI
1316562697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
Mr. JAMES OLIVER RANDALL
1412 140TH PL NE
BELLEVUE, WA 98007-3915
Phone number: 425-747-7892
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Mailing Address
Mr. JAMES OLIVER RANDALL
16351 NE 13TH PL APT A103
BELLEVUE, WA 98008-3695
Phone number: 425-761-0142
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