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Patrick Randall

Case Manager/Care Coordinator in Little Rock, AR. Individual provider (NPI-1).

NPI number1467115352
StatusActive
Last updated in NPPESOct 18, 2021

Details

NPI
1467115352
Entity type
Individual (NPI-1)
Name
Patrick Randall
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 18, 2021
Certification date
Oct 18, 2021
Last updated
Oct 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–ARYes

Practice location

6210 Baseline Rd
Little Rock, AR 72209-4728

Phone 501-265-0302 · Fax 501-265-0300

Mailing address

6210 Baseline Rd
Little Rock, AR 72209-4728

Phone 501-265-0302 · Fax 501-265-0300

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