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Individual
MR. TIMOTHY WAYNE MARQUELL
Active
Individual
MR. TIMOTHY WAYNE MARQUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
CRT38045
FL
363A00000X
Physician Assistant
1826
TN
363A00000X
Physician Assistant
Primary
PA9107354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520423
—
TN
Enumeration date
03/08/2010
Last updated
07/21/2022
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