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1740678739
RANDALL TERRY CRAWFORD
VIDALIA, GA
NPI
1740678739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN195783)
Enumeration Date
2014-12-30
Last Update Date
2015-05-13
Business Address
Mr. RANDALL TERRY CRAWFORD
101 HARRIS INDUSTRIAL BLVD SUITE A
VIDALIA, GA 30474-8852
Phone number: 912-535-3500
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Mailing Address
Mr. RANDALL TERRY CRAWFORD
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-537-4986
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