CARL RANDOLPH RANDOLPH

BRADENTON, FL
NPI1215033980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL 539)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
-- CARL RANDOLPH RANDOLPH ATC
1701 27TH ST E
BRADENTON, FL 34208-7831
Phone number: 941-747-3031
Mailing Address
-- CARL RANDOLPH RANDOLPH ATC
11493 WALDEN LOOP
PARRISH, FL 34219-7569
Phone number: 941-776-9903
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