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Individual

ALLIE ROSE BRANHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
960 S PROSPECT ST, MARION, OH 43302-6225
(740) 383-2776
(740) 383-2978
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.0019443
OH

Other

Enumeration date
05/14/2020
Last updated
07/11/2024
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