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1063531390
KERRY RANDOLPH
SPRINGFIELD, MO
NPI
1063531390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO R9C05)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- KERRY RANDOLPH M.D.
3525 S NATIONAL AVE STE 101
SPRINGFIELD, MO 65807-7310
Phone number: 417-269-5711
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Mailing Address
-- KERRY RANDOLPH M.D.
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-6262
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