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Individual

ALLEN G BRANCH

Active
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Individual

ALLEN G BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9271288
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
291413100
FL
01
E0949
BCBS
FL
Enumeration date
07/26/2006
Last updated
04/24/2020
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