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Individual
BRENT MATTES
Active
Individual
BRENT MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNMT
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
22-05097
KS
Other
Enumeration date
03/28/2023
Last updated
08/28/2023
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