Individual
COURTNEY RANDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14405 E PACE DR., PALMER, AK 99645
(907) 746-1563
Mailing address
PO BOX 411, PALMER, AK 99645-0411
(907) 746-1563
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6044
AK
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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