Individual
RANDELL GLENN HARRELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
7761 PEPPER CIR WEST, JACKSONVILLE, FL 32244
(904) 777-9543
(904) 777-9733
Mailing address
7761 PEPPER CIR WEST, JACKSONVILLE, FL 32244
(904) 777-9543
(904) 777-9733
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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