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1497880009
GORDON A BRAATZ
EDINA, MN
NPI
1497880009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MN LP1737)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
DR. GORDON A BRAATZ PH.D.
6566 FRANCE AVE S PH1
EDINA, MN 55435-1723
Phone number: 952-925-4909
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Mailing Address
DR. GORDON A BRAATZ PH.D.
6566 FRANCE AVE S PH1
EDINA, MN 55435-1723
Phone number: 952-925-4909
Copy
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