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1720243702
CLAUDE RANDALL FRIDLEY
PANAMA CITY, FL
NPI
1720243702
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Other Name
RANDY FRIDLEY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 3018)
Enumeration Date
2008-07-19
Last Update Date
2008-07-19
Business Address
Mr. CLAUDE RANDALL FRIDLEY
4419 TRAM RD
PANAMA CITY, FL 32404-2559
Phone number: 850-747-5825
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Mailing Address
Mr. CLAUDE RANDALL FRIDLEY
644 FLORIDA AVE UNIT E
PANAMA CITY, FL 32401-6354
Phone number: 850-896-0569
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