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Organization

WALK RUN RANDALL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTINA RENE RANDALL DPM,AACFAS (OWNER)
(267) 934-6996
Entity
Organization

Contact information

Practice address
28829 PUJOL ST APT 718, TEMECULA, CA 92590-6710
(267) 934-6996
Mailing address
28829 PUJOL ST APT 718, TEMECULA, CA 92590-6710
(267) 934-6996

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary

Other

Enumeration date
03/10/2020
Last updated
03/10/2020
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