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Individual

MS. RENEE D FLACKSBARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
1611 COUNTY RD. B W., 204, ROSEVILLE, MN 55113-5021
(651) 631-9363
(651) 639-0896
Mailing address
1611 COUNTY ROAD B W, 204, ROSEVILLE, MN 55113-5021
(651) 631-9363
(651) 639-0896

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2686
MN

Other

Enumeration date
06/24/2010
Last updated
06/24/2010
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