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Individual

BRANDON NICKOLAS MATTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PARAMEDIC

Contact information

Practice address
308 QUINCY ST, RAPID CITY, SD 57701
(605) 391-4863
(605) 342-3692
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
(605) 343-7293

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
3414
SD

Other

Enumeration date
08/14/2023
Last updated
08/14/2023
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