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Individual

MATT BRAKEFEILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
625 SNELLING AVE S, STE. 100, SAINT PAUL, MN 55116-1529
(651) 319-9516
Mailing address
8800 SE SUNNYSIDE RD, STE 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary

Other

Enumeration date
12/20/2011
Last updated
12/20/2011
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