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1316419369
TAKIRA RANDOLPH
TALLAHASSEE, FL
NPI
1316419369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11000261)
Enumeration Date
2018-12-31
Last Update Date
2018-12-31
Business Address
TAKIRA RANDOLPH
1690 N MONROE ST
TALLAHASSEE, FL 32303-5533
Phone number: 850-284-0317
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Mailing Address
TAKIRA RANDOLPH
4064 BUSTER RD
TALLAHASSEE, FL 32305-8338
Phone number: 850-284-0317
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