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1790920197
RANDALL DAVID GAINFORTH
TAMPA, FL
NPI
1790920197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH6489)
Enumeration Date
2008-12-13
Last Update Date
2008-12-13
Business Address
MR. RANDALL DAVID GAINFORTH LMHC
2111 W SWANN AVE SUITE 104
TAMPA, FL 33606-2477
Phone number: 813-220-0262
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Mailing Address
MR. RANDALL DAVID GAINFORTH LMHC
5616 OAKLAND DR
TAMPA, FL 33617-7719
Phone number: 813-220-0262
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