TIM L RANDALL

JAMESTOWN, ND
NPI1598962987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1102)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
Mr. TIM L RANDALL LAC
300 2ND AVE NE SUITE 221
JAMESTOWN, ND 58401-3373
Phone number: 701-252-5398
Mailing Address
Mr. TIM L RANDALL LAC
PO BOX 286
YPSILANTI, ND 58497-0286
Phone number: 701-489-3289
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