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Individual
RANDY E PRESLEY
Active
Individual
RANDY E PRESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP119260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374195
—
TN
01
—
4055168
BCBS
TN
Enumeration date
12/05/2006
Last updated
01/14/2015
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