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1417294810
RANDY L WALCHLE
NORTH PORT, FL
NPI
1417294810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH 5554)
Enumeration Date
2013-01-07
Last Update Date
2013-01-07
Business Address
RANDY L WALCHLE
2562 COMMERCE PKWY
NORTH PORT, FL 34289-9328
Phone number: 941-564-8734
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Mailing Address
RANDY L WALCHLE
2562 COMMERCE PKWY
NORTH PORT, FL 34289-9328
Phone number:
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