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Individual

PATRICIA RANDEL

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
615 E MAIN ST, PANORA, IA 50216-1097
(641) 755-2312
(641) 755-3773
Mailing address
PO BOX 216, PANORA, IA 50216-0216
(641) 755-2312
(641) 755-3773

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18060
IA

Other

Enumeration date
06/17/2005
Last updated
07/08/2007
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