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1396920526
RANDALL NUGENT
MCCOMB, MS
NPI
1396920526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2008-01-07
Last Update Date
2008-01-07
Business Address
RANDALL NUGENT
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
RANDALL NUGENT
3304 N FM 2148
TEXARKANA, TX 75503-4808
Phone number:
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