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1336142009
RANDALL A OW
ROSEVILLE, CA
NPI
1336142009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G86601)
Enumeration Date
2005-05-24
Last Update Date
2018-06-16
Business Address
-- RANDALL A OW
2 MEDICAL PLAZA DR STE 225 & 235
ROSEVILLE, CA 95661-3043
Phone number: 916-782-1391
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Mailing Address
-- RANDALL A OW
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815-4314
Phone number: 916-736-3408
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