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Individual

KATELYNNE MARIE BRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CST, CSFA

Contact information

Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1399
(503) 769-2175
Mailing address
300 UNIVERSITY ST, JEFFERSON, OR 97352-9333
(503) 910-6370

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
202395
OR
246ZS0410X
Surgical Technologist
187696
OR

Other

Enumeration date
08/13/2021
Last updated
08/13/2021
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