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1932932001
RANDALL STATON
SALISBURY, NC
NPI
1932932001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
RANDALL STATON
1504 JAKE ALEXANDER BLVD W
SALISBURY, NC 28147-1213
Phone number: 704-975-7335
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Mailing Address
RANDALL STATON
8415 LOCKSLEY DR
HARRISBURG, NC 28075-6662
Phone number: 704-975-7335
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