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Individual

MR. BRANT R CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
7215 COMMONS CIR UNIT C, CHEYENNE, WY 82009-2666
(307) 426-4327
(307) 426-3277
Mailing address
PO BOX 21804, CHEYENNE, WY 82003-7073
(307) 426-4327
(307) 426-3277

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-963
WY
231HA2400X
Assistive Technology Practitioner Audiologist
A963
WY
231HA2500X
Assistive Technology Supplier Audiologist
A963
WY
237600000X
Audiologist-Hearing Aid Fitter
A963
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112860402
WY
Enumeration date
06/20/2005
Last updated
10/16/2020
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