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Individual
BILLY GLYNN BRANCH
Active
Individual
BILLY GLYNN BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.207949
LA
208000000X
Pediatrics Physician
MD.207949
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/27/2011
Last updated
12/26/2023
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