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Individual

CAROL PURCELL

Active
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Individual

CAROL PURCELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA16086
CA
207N00000X
Dermatology Physician
PA2008-0007
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17724261
NM
01
202027635
PRESBYTERIAN HEALTH
NM
Enumeration date
03/21/2007
Last updated
07/07/2008
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