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1154321107
RANDALL J CAMMENGA
ELKHART, IN
NPI
1154321107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: IN 01041177)
Enumeration Date
2005-07-29
Last Update Date
2008-03-20
Business Address
-- RANDALL J CAMMENGA MD
600 EAST BLVD
ELKHART, IN 46514-2483
Phone number: 574-523-3161
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Mailing Address
-- RANDALL J CAMMENGA MD
3371 CLEVELAND ROAD EXT SUITE 210
SOUTH BEND, IN 46628-9780
Phone number: 574-271-2558
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