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1083963656
RANDOL B MACKEY
MEMPHIS, TN
NPI
1083963656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN APN16922)
Enumeration Date
2012-08-29
Last Update Date
2012-08-29
Business Address
-- RANDOL B MACKEY CRNA
1068 CRESTHAVEN RD SUITE 150
MEMPHIS, TN 38119-0800
Phone number: 901-682-2872
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Mailing Address
-- RANDOL B MACKEY CRNA
PO BOX 171181
MEMPHIS, TN 38187-1181
Phone number:
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