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Individual
MISS BRENDA LEE HENRY
Active
Individual
MISS BRENDA LEE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T (R)
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
2836
MT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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