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MARJORIE CHINNOCK ARRT

>> Radiologic Technologist >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1891010807

Individual Registrant:
 MARJORIE  CHINNOCK ARRT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
M.P. 388 STATE ROUTE 264  POLACCA, AZ 86042-4000 US
Tel: 928-737-6000  Fax: 928-737-6069

Contact information for business:
PO BOX 4000  POLACCA, AZ 86042-4000 US
Tel: 928-737-6000  Fax: 928-737-6069

Registration Information:
NPI: 1891010807
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y247100000XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
AZCRT - 12784

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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