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1285001438
KEITH RANDLE
NEWPORT BEACH, CA
NPI
1285001438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: CA CLR00348278)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- KEITH RANDLE
2100 HIGHLAND DR
NEWPORT BEACH, CA 92660-4408
Phone number: 949-689-8880
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Mailing Address
-- KEITH RANDLE
2100 HIGHAND DRIVE
NEWPORT BEACH, CA 92660-4408
Phone number: 949-689-8880
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