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1942798939
ALLEN RANDLE
SAN MATEO, CA
NPI
1942798939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
Mr. ALLEN RANDLE
2251 PALM AVE
SAN MATEO, CA 94403-1814
Phone number: 605-513-6500
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Mailing Address
Mr. ALLEN RANDLE
671 NELLO DR APT 2
CAMPBELL, CA 95008-4759
Phone number: 408-603-3705
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