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1699223495
RANDY C WIREBAUGH
LOS ANGELES, CA
NPI
1699223495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-21
Last Update Date
2016-09-21
Business Address
Mr. RANDY C WIREBAUGH
340 N MADISON AVE
LOS ANGELES, CA 90004-3504
Phone number: 323-644-2200
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Mailing Address
Mr. RANDY C WIREBAUGH
11942 OLD RIVER SCHOOL RD APT. 1
DOWNEY, CA 90242-2159
Phone number: 562-313-4082
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