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Mr. Wayne George Randall
Specialist in Coquille, Oregon
NPI 1760782726

Wayne George Randall is a Specialist based in Coquille, OR. Wayne George Randall practices in Coquille, OR. The NPI Number for Wayne George Randall is 1760782726 and holds a License No. HSP-P-10131631 (Oregon).

The current practice location address for Wayne George Randall is 364 N Central Blvd, Coquille, OR and can be reached out via phone at 541-396-4283 and via fax at 541-396-7194.

Location: 364 N Central Blvd, Coquille, OR, 97423-1244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760782726
Provider Name
Wayne George Randall
Credential
Provider Entity Type
Individual
Gender
Male
Address
364 N Central Blvd, Coquille, OR, 97423-1244
Phone Number
541-396-4283
Fax Number
541-396-7194
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
364 N Central Blvd
City
Coquille
State
Oregon
Zip
97423-1244
Phone Number
541-396-4283
Fax Number
541-396-7194
person
Provider Business Mailing Address Details
Address
364 N Central Blvd
City
Coquille
State
Oregon
Zip
97423-1244
Phone Number
541-396-4283
Fax Number
541-396-7194
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
HSP-P-10131631 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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