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Individual
MR. CALEB DAVID BRANCH
Active
Individual
MR. CALEB DAVID BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
717588
NY
207R00000X
Internal Medicine Physician
310959
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310959
NY
Other
Enumeration date
09/15/2022
Last updated
07/22/2023
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