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Randy Jennings
NPI 1043595689 · on the registry since 2011
Practice
- Address
- 923 Northcrest Business Center
6-D
Fort Wayne, IN 46805 - Phone
- (260) 484-8542
- Fax
- (260) 484-1094
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana