Individual
MR. RANDALL GUY EGGLESTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
3445 S MAIN ST, COVENTRY TWP, OH 44319-3028
(330) 644-4095
(330) 645-2031
Mailing address
3445 S MAIN ST, COVENTRY TWP, OH 44319-3028
(330) 644-4095
(330) 645-2031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS0002559
OH
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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