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1538161351
MARK STEVEN RANDALL
INDIANAPOLIS, IN
NPI
1538161351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TH0100X Psychologist, Health Service
(Licence: IN 20041703A)
Enumeration Date
2005-08-11
Last Update Date
2011-03-10
Business Address
-- MARK STEVEN RANDALL PsyD HSPP
8075 NORTH SHADELAND AVENUE
INDIANAPOLIS, IN 46256-2693
Phone number: 317-621-8000
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Mailing Address
-- MARK STEVEN RANDALL PsyD HSPP
8180 CLEARVISTA PARKWAY SUITE 230 ATTN SHERRY MUELLER
INDIANAPOLIS, IN 46256-4649
Phone number:
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