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1174575641
J. RANDALL KEIFER
SPRINGFIELD, OH
NPI
1174575641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50001816)
Enumeration Date
2006-05-16
Last Update Date
2008-05-29
Business Address
-- J. RANDALL KEIFER PAC
1343 N FOUNTAIN BLVD
SPRINGFIELD, OH 45504-1422
Phone number: 937-390-5000
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Mailing Address
-- J. RANDALL KEIFER PAC
4750 HEMPSTEAD STATION DR
KETTERING, OH 45429-5164
Phone number: 800-875-0136
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