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Individual
RANDI RASBERRY
Active
Individual
RANDI RASBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1126818
NY
363A00000X
Physician Assistant
PA.200846
LA
363AS0400X
Surgical Physician Assistant
PA.200846
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03855858
—
MS
05
—
07705168
—
NY
05
—
2400495
—
LA
Enumeration date
08/04/2015
Last updated
11/26/2025
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