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Individual
MR. RANDY EDWARD YOCUM
Active
Individual
MR. RANDY EDWARD YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P22440
NC
225100000X
Physical Therapist
PT008224L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P22440
PT LICENSE
NC
Enumeration date
07/13/2005
Last updated
09/26/2024
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