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Individual

RANDY COLVIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
124 CHELTENHAM DR, HEBRON, OH 43025-9047
(614) 738-5790
Mailing address
5667 YORK RD SW, PATASKALA, OH 43062-7423

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
4032409
OH

Other

Enumeration date
09/13/2021
Last updated
09/13/2021
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