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1871110270
RANDY PAUL MACSISAK
ALLENTOWN, PA
NPI
1871110270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
RANDY PAUL MACSISAK
451 CHEW ST STE 106
ALLENTOWN, PA 18102-3412
Phone number: 610-799-7113
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Mailing Address
RANDY PAUL MACSISAK
451 CHEW ST STE 106
ALLENTOWN, PA 18102-3412
Phone number: 610-799-7113
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