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1396991824
RANDY WATSON
BRONX, NY
NPI
1396991824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 012651)
Enumeration Date
2008-08-15
Last Update Date
2008-08-15
Business Address
-- RANDY WATSON
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
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Mailing Address
-- RANDY WATSON
11311 76TH RD APT 3A
FOREST HILLS, NY 11375-6557
Phone number:
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