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Individual
MARJAY GLADYS RANDALL
Active
Individual
MARJAY GLADYS RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN178428
GA
363L00000X
Nurse Practitioner
Primary
RN178428
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
402618
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC005178
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11024504
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN178428
GA
Other
Enumeration date
09/04/2012
Last updated
01/23/2026
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