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1700262227
KARL RANDALL WIEDMEIER
TEMPLE, TX
NPI
1700262227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10113)
Enumeration Date
2015-08-06
Last Update Date
2022-01-25
Business Address
KARL RANDALL WIEDMEIER PA
2401 S 31ST ST
TEMPLE, TX 76508-5509
Phone number: 254-724-2111
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Mailing Address
KARL RANDALL WIEDMEIER PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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