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Individual
RANDALL ROLL
Active
Individual
RANDALL ROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A17512
CA
207P00000X
Emergency Medicine Physician
OT016941
PA
Other
Enumeration date
05/03/2016
Last updated
10/17/2019
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