Josh Randall

NPI #1407307150 in Fargo, North Dakota

Provider Information

NPI Number: 1407307150
Entity Type: Individual
Name: Josh Randall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Oct 18, 2016
Last Updated: Oct 18, 2016

Practice Location

Address: 1126 WESTRAC DR S
City: Fargo
State: North Dakota
ZIP Code: 58103-2342
Phone: (701) 412-2973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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