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1013321678
RANDON PRATHER
BENTON, KY
NPI
1013321678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 9492)
Enumeration Date
2014-06-11
Last Update Date
2014-06-11
Business Address
Dr. RANDON PRATHER D.M.D.
1301 OLIVE ST
BENTON, KY 42025-1640
Phone number: 270-527-1479
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Mailing Address
Dr. RANDON PRATHER D.M.D.
PO BOX 585
BENTON, KY 42025-0585
Phone number: 270-527-1479
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