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Individual

JENNIFER C BRANCHCOMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
6006 LOMBARD CT, TAMARAC, FL 33321-6318
(954) 732-6531
Mailing address
6006 LOMBARD CT, TAMARAC, FL 33321-6318
(954) 732-6531

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL 1749
FL

Other

Enumeration date
04/26/2006
Last updated
02/14/2013
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