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Mary Randolph, RN — NPI 1396005443, Dove Creek, CO | NPI Central

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NPI 1396005443

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Mary Randolph, RN

NPI 1396005443 · Administrator Registered Nurse · Dove Creek, CO

Provider details

NPI number: 1396005443
Entity type: Individual
Primary specialty: Administrator Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: 115016 (CO)

Practice location

497 West 4th Street

Dove Creek, CO 81324-0368

Phone: (970) 677-2387

Fax: (970) 677-2948

More CO providers

Mailing address

Po Box 368

Dove Creek, CO 81324-0368

Registry dates

Enumerated: 2012-05-23
Last updated: 2012-05-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.