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Individual
MS. DEBRA KELLY
Active
Individual
MS. DEBRA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RTR.
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
18328
OR
2471C3402X
Radiography Radiologic Technologist
R0004808
MD
2471C3402X
Radiography Radiologic Technologist
RRT 3486
NM
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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