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1487254959
RANDOLPH R GRANT
WENATCHEE, WA
NPI
1487254959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-10-26
Last Update Date
2020-10-30
Business Address
RANDOLPH R GRANT
145 S WORTHEN ST
WENATCHEE, WA 98801-3081
Phone number: 509-662-6761
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Mailing Address
RANDOLPH R GRANT
145 S WORTHEN ST
WENATCHEE, WA 98801-3081
Phone number: 509-662-6761
Copy
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