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Individual
MRS. KELLY D MARRINAN
Active
Individual
MRS. KELLY D MARRINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1094
MT
237600000X
Audiologist-Hearing Aid Fitter
357HAD
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535275
—
MT
01
—
290548
BLUE CROSS
MT
05
—
5607966
—
MT
Enumeration date
07/05/2006
Last updated
09/01/2017
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