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1447080411
RANDALL LESLEY TOVAR-PRATT
GARDEN GROVE, CA
NPI
1447080411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
RANDALL LESLEY TOVAR-PRATT
13212 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone number: 855-588-1422
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Mailing Address
RANDALL LESLEY TOVAR-PRATT
2307 E BALL RD APT 414
ANAHEIM, CA 92806-5310
Phone number: 747-336-1498
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