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Individual

MR. DAVID RAY BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 871-2810
Mailing address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 871-2810

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
05/28/2009
Last updated
06/03/2009
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