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1891008231
RANDY LEE OWEN
SACRAMENTO, CA
NPI
1891008231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-14
Last Update Date
2010-07-14
Business Address
Mr. RANDY LEE OWEN
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8435
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Mailing Address
Mr. RANDY LEE OWEN
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8435
Copy
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