Individual
MRS. MARGIE ANN RANDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S. 4TH STREET, COSHOCTON, OH 43812-2021
(740) 623-0679
Mailing address
350 S. 4TH STREET, COSHOCTON, OH 43812-2021
(740) 623-0679
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2409843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IP#2409843
HOME HEALTH AIDE
OH
Enumeration date
05/04/2007
Last updated
07/08/2007
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