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Norma Naomi Randolph

Private Vehicle in Dayton, OH. Individual provider (NPI-1).

NPI number1982245494
StatusActive
Last updated in NPPESOct 5, 2019

Details

NPI
1982245494
Entity type
Individual (NPI-1)
Name
Norma Naomi Randolph
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 5, 2019
Last updated
Oct 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347C00000X Private VehicleTb022384OHYes

Practice location

1832 Della Dr
Dayton, OH 45417-4524

Phone 937-979-2926

Mailing address

1832 Della Dr
Dayton, OH 45417-4524

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