MR. Randall Guy Eggleston SR., PRS

NPI #1568193787 in Coventry Twp, Ohio

Provider Information

NPI Number: 1568193787
Entity Type: Individual
Name: MR. Randall Guy Eggleston SR., PRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PRS
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 3445 S MAIN ST
City: Coventry Twp
State: Ohio
ZIP Code: 44319-3028
Phone: (330) 644-4095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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