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1033588330
CODY RANDEL
PHOENIX, AZ
NPI
1033588330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- CODY RANDEL PA-C
3030 N CENTRAL AVE 1407
PHOENIX, AZ 85012-2707
Phone number: 602-253-5100
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Mailing Address
-- CODY RANDEL PA-C
7557 N DREAMY DRAW DR UNIT 256
PHOENIX, AZ 85020-4651
Phone number: 773-663-5747
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