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1881736916
RANDY GENE LANDES
CLARKSBURG, WV
NPI
1881736916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV DP00940318)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- RANDY GENE LANDES
1MEDICAL CENTER DRIVE
CLARKSBURG, WV 26301
Phone number: 130-462-3246
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Mailing Address
-- RANDY GENE LANDES
RT. 1 BOX 383 A
SALEM, WV 26426
Phone number: 130-478-2148
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