Individual
DR. JUSTINE MARIE LOUISE BRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Mailing address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14975
MN
Other
Enumeration date
05/23/2021
Last updated
09/14/2023
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