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Individual
MR. MIKE FARRELL
Active
Individual
MR. MIKE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16115
FL
Other
Enumeration date
12/27/2013
Last updated
02/18/2014
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