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1124011507
RANDOLPH LEE JAMES
WOODLAND PARK, CO
NPI
1124011507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 45978)
Enumeration Date
2005-08-31
Last Update Date
2012-02-03
Business Address
-- RANDOLPH LEE JAMES M.D.
403 S BALDWIN STREET
WOODLAND PARK, CO 80863-8762
Phone number: 719-686-7776
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Mailing Address
-- RANDOLPH LEE JAMES M.D.
403 S BALDWIN ST
WOODLAND PARK, CO 80863-3154
Phone number: 719-686-7776
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