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Individual

MR. RANDAL G TROUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1715 S. MAIN STREET, KANNAPOLIS, NC 28081
(704) 938-7111
(704) 932-4066
Mailing address
1715 S. MAIN STREET, KANNAPOLIS, NC 28081
(704) 938-7111
(704) 932-4066

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2256
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890884N
NC
Enumeration date
06/29/2006
Last updated
04/04/2011
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