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Organization
REBEKAH BRANSCUM DRE LLC
Active
Organization
REBEKAH BRANSCUM DRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG WHITE (CEO)
(859) 533-1109
Entity
Organization
Contact information
Practice address
8536 W HIGHWAY 80, NANCY, KY 42544-7744
(606) 636-4311
Mailing address
8536 W HIGHWAY 80, NANCY, KY 42544-7744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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