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1427224963
RANDALL L FORD
MARYVILLE, TN
NPI
1427224963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN DS5205)
Enumeration Date
2008-05-05
Last Update Date
2016-10-05
Business Address
Dr. RANDALL L FORD DDS
1740 BIG SPRINGS RD
MARYVILLE, TN 37801-8206
Phone number: 865-681-7645
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Mailing Address
Dr. RANDALL L FORD DDS
1740 BIG SPRINGS RD
MARYVILLE, TN 37801-8206
Phone number: 865-681-7645
Copy
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