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Individual

DONNA BRANHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1094 CHILDS BRANCH RD, JENKINS, KY 41537
(606) 832-0146
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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