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1285625707
WILLIAM LEWIS RANDALL
FORT BRAGG, NC
NPI
1285625707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2005-11-03
Last Update Date
2007-07-08
Business Address
-- WILLIAM LEWIS RANDALL PA-C
HHC XVIII AIRBORNE CORPS SURGEON OFFICE MACOMB STREET, BLDG 2-1148
FORT BRAGG, NC 28310-0001
Phone number: 910-396-5772
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Mailing Address
-- WILLIAM LEWIS RANDALL PA-C
2430 CAITHNESS DR
FAYETTEVILLE, NC 28306-8507
Phone number: 910-396-5772
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