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Individual

RANDOLPH CLARK DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
320 BAWDEN ST, SUITE 306, KETCHIKAN, AK 99901-6503
(907) 225-6815
(907) 225-5767
Mailing address
320 BAWDEN ST, SUITE 306, KETCHIKAN, AK 99901-6503
(907) 225-6815
(907) 225-5767

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
149
AK

Other

Enumeration date
10/31/2006
Last updated
09/19/2017
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