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1629491303
RANDAL SCOTT SOUZA
CHICO, CA
NPI
1629491303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 4579)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
Mr. RANDAL SCOTT SOUZA
375 COHASSET RD
CHICO, CA 95926-2211
Phone number: 530-343-5595
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Mailing Address
Mr. RANDAL SCOTT SOUZA
4560 SE INTERNATIONAL WAY STE 100
PORTLAND, OR 97222-4628
Phone number: 971-206-5200
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