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Individual

RANDOLPH DALE BLATTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N., RNFA

Contact information

Practice address
8624 CARLTON OAKS DR, SANTEE, CA 92071-2214
(619) 851-7625
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
547610
CA

Other

Enumeration date
02/07/2015
Last updated
02/07/2015
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