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1407963713
RANDY L PURCELL
WEST BEND, WI
NPI
1407963713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 322-023)
Enumeration Date
2006-08-23
Last Update Date
2012-12-03
Business Address
Mr. RANDY L PURCELL PA-C
205 VALLEY AVE
WEST BEND, WI 53095-5312
Phone number: 262-338-1123
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Mailing Address
Mr. RANDY L PURCELL PA-C
3003 W GOOD HOPE RD
MILWAUKEE, WI 53209-2042
Phone number: 414-352-3100
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