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Individual
MARK FERRELL
Active
Individual
MARK FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R)
Taxonomy
Speciality
Code
Description
License number
State
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
00-6456
SC
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
Primary
500501702
IL
2471C1106X
Cardiac-Interventional Technology Radiologic Technologist
RHF00097620
CA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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