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MR. RANDALL BRYANT KLEPPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4963
Mailing address
5321 BROWNS LAKE RD, JACKSON, MI 49203-5602

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704148008
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036402
CRNA/AANA
Enumeration date
08/24/2006
Last updated
07/08/2007
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