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Randy Tackett
NPI 1639209877 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1821 N 150 W
Wabash, IN 46992 - Phone
- (260) 563-0142
- Fax
- (260) 563-6565
Registry record
- Primary taxonomy
- Home Modifications Contractor
171WH0202X
- Sex
- Male
- Record last updated
- 2007-07-08
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