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1972135523
RANDY OWEN
UKIAH, CA
NPI
1972135523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-02-11
Last Update Date
2023-04-20
Business Address
RANDY OWEN
631 S ORCHARD AVE
UKIAH, CA 95482-5011
Phone number: 707-467-2010
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Mailing Address
RANDY OWEN
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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