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1730260019
RANDOLPH P COUSINS
COLUMBUS, GA
NPI
1730260019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 004428)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- RANDOLPH P COUSINS PA
7301 BLACKMON RD
COLUMBUS, GA 31909-4478
Phone number: 706-568-2700
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Mailing Address
-- RANDOLPH P COUSINS PA
7301 BLACKMON RD
COLUMBUS, GA 31909-4478
Phone number: 706-568-2700
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