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Individual
MR. MARTIN JOHN AUDIFFRED
Active
Individual
MR. MARTIN JOHN AUDIFFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
845
LA
231HA2400X
Assistive Technology Practitioner Audiologist
845
LA
231HA2500X
Assistive Technology Supplier Audiologist
845
LA
237600000X
Audiologist-Hearing Aid Fitter
845
LA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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