JEFFREY BLAINE RANDALL

SPRINGFIELD, OH
NPI1730707480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.172965)
Enumeration Date2020-07-09
Last Update Date2020-07-11
Business Address
JEFFREY BLAINE RANDALL CDCA
4867 URBANA RD
SPRINGFIELD, OH 45502
Phone number: 937-971-7358
Mailing Address
JEFFREY BLAINE RANDALL CDCA
4867 URBANA RD
SPRINGFIELD, OH 45502
Phone number: 937-971-7358
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