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Individual
MRS. JENNIFER E BRUYERE
Active
Individual
MRS. JENNIFER E BRUYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, AAS, RT(R)(M)
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
373912
MN
2471M2300X
Mammography Radiologic Technologist
373912
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373912
AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
MN
01
—
500506806
IEMA DIVISION OF NUCLEAR SAFETY
IL
Enumeration date
11/26/2012
Last updated
11/26/2012
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