Individual
RANDY FORSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
210 HOOVER ST, JEFFERSON CITY, MO 65109-0800
(573) 632-4321
(573) 556-4324
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007005799
MO
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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