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1689047037
MICHAEL RANDALL
DESERT HOT SPRINGS, CA
NPI
1689047037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1211310815)
Enumeration Date
2015-11-06
Last Update Date
2015-11-06
Business Address
-- MICHAEL RANDALL
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2924
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Mailing Address
-- MICHAEL RANDALL
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2924
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