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Individual

TERRILL ANGELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., FAAA

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
83
AK
231H00000X
Audiologist
Primary
AUD-128
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AU7454
AK
Enumeration date
05/08/2007
Last updated
01/10/2018
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