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Individual
MARY ELLEN BRADY
Active
Individual
MARY ELLEN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RT(T)
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
07241
MA
2471R0002X
Radiation Therapy Radiologic Technologist
RT001494
RI
Other
Enumeration date
09/05/2015
Last updated
09/05/2015
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