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Individual

MR. RANDAL L CHEEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPO0000000487

Contact information

Practice address
1922 SHADY BROOK ST, COLUMBIA, TN 38401-3989
(931) 388-2061
(931) 388-9973
Mailing address
1922 SHADY BROOK ST, COLUMBIA, TN 38401-3989
(931) 388-2061
(931) 388-9973

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DPO0000000487
TN

Other

Enumeration date
02/09/2011
Last updated
02/09/2011
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