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1669620795
TRAVIS RANDOLPH
MORGANTOWN, WV
NPI
1669620795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01349)
Enumeration Date
2008-09-03
Last Update Date
2008-09-03
Business Address
-- TRAVIS RANDOLPH P.A.-C.
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Phone number: 304-598-4800
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Mailing Address
-- TRAVIS RANDOLPH P.A.-C.
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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