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1215151543
CHARLES BRENT WAKEFIELD
OMAHA, NE
NPI
1215151543
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Other Name
C. BRENT WAKEFIELD
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: NE 5286)
Enumeration Date
2007-04-11
Last Update Date
2013-04-01
Business Address
Dr. CHARLES BRENT WAKEFIELD MD
10707 PACIFIC ST SUITE 101
OMAHA, NE 68114-4762
Phone number: 402-397-7989
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Mailing Address
Dr. CHARLES BRENT WAKEFIELD MD
PO BOX 8577
OMAHA, NE 68108-0577
Phone number: 402-397-7989
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