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Individual

MR. RANDY L ORSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1490 COSHOCTON AVE, STE B, MOUNT VERNON, OH 43050-6099
(740) 393-9111
(740) 399-3161
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9111
(740) 399-3161

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001642
OH
363A00000X
Physician Assistant
OA006843
PA

Other

Enumeration date
06/17/2006
Last updated
07/10/2024
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