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1366150484
RANDY HOLSOPPLE
SAN PEDRO, CA
NPI
1366150484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 22179912)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
RANDY HOLSOPPLE CATC
132 W 10TH ST
SAN PEDRO, CA 90731-3702
Phone number: 310-514-4940
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Mailing Address
RANDY HOLSOPPLE CATC
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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