CRISTA RANDOL

FORT WAYNE, IN
NPI1689226797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71009114A)
Enumeration Date2019-07-10
Last Update Date2019-07-10
Business Address
CRISTA RANDOL FNP-C
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6280
Phone number: 260-458-3825
Mailing Address
CRISTA RANDOL FNP-C
8210 SURREY CT
FORT WAYNE, IN 46815-8777
Phone number: 260-450-9535
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