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1871001198
RANDY MC COLLUM
MARTINSVILLE, VA
NPI
1871001198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: VA 2305002268)
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
RANDY MC COLLUM PT
101 CLEVELAND AVE
MARTINSVILLE, VA 24112-3700
Phone number: 276-233-6752
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Mailing Address
RANDY MC COLLUM PT
101 CLEVELAND AVE STE D
MARTINSVILLE, VA 24112-3700
Phone number: 276-233-6752
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