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Individual
RANDY LEE CARSON
Active
Individual
RANDY LEE CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REHAB THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
02242001
TX
225700000X
Massage Therapist
MT032379
TX
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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