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1912479791
JASON RANDLE
LAKE VIEW TERRACE, CA
NPI
1912479791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-18
Last Update Date
2018-12-18
Business Address
JASON RANDLE
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3000
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Mailing Address
JASON RANDLE
21000 PLUMMER ST
CHATSWORTH, CA 91311-4903
Phone number:
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