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1982076246
RICHARD RANDOLPH
MEMPHIS, TN
NPI
1982076246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 2834)
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
-- RICHARD RANDOLPH pa-c
1094 RIVER ISLE DR
MEMPHIS, TN 38103-8870
Phone number: 912-667-0714
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Mailing Address
-- RICHARD RANDOLPH pa-c
1094 RIVER ISLE DR
MEMPHIS, TN 38103-8870
Phone number: 912-667-0714
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