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Individual
MR. RANDALL LYLE KERR
Active
Individual
MR. RANDALL LYLE KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFTI, CAS II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAS II # 03-001350
CA
Other
Enumeration date
09/20/2006
Last updated
10/15/2008
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