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Individual

MS. MARY SUE BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1702 MAPLE ST, WINNFIELD, LA 71483-3064
(318) 628-2719
(318) 628-6040
Mailing address
1702 MAPLE ST, WINNFIELD, LA 71483-3064
(318) 628-2719
(318) 628-6040

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1637
LA

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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