Individual
RANDELL JOHN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1411 E COLLEGE DR, MARSHALL, MN 56258-2086
(507) 532-2264
Mailing address
1411 E COLLEGE DR, MARSHALL, MN 56258-2086
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R 168369-1
MN
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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