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1194139519
RANDY MICHAEL CHAN
DANVILLE, VA
NPI
1194139519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036145339)
Enumeration Date
2014-06-13
Last Update Date
2022-07-21
Business Address
Dr. RANDY MICHAEL CHAN D.O.
109 BRIDGE ST STE 201
DANVILLE, VA 24541-1222
Phone number: 434-799-4488
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Mailing Address
Dr. RANDY MICHAEL CHAN D.O.
611 W PARK ST FAPC
URBANA, IL 61801-2529
Phone number: 217-383-3311
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