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Individual

RANDAL B. AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1561 W 7000 S STE 200, WEST JORDAN, UT 84084-3556
(801) 562-5300
(801) 562-1883
Mailing address
1561 W 7000 S STE 200, WEST JORDAN, UT 84084-3556
(801) 562-5300
(801) 562-1883

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5645799-4405
UT

Other

Enumeration date
08/07/2007
Last updated
08/07/2007
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