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Individual

JILL L BRANCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
570 OCEAN DR, #501, JUNO BEACH, FL 33408-1952
(954) 404-7559
Mailing address
341 E SHERIDAN ST, #205, DANIA BEACH, FL 33004-5524

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA56984
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA56984
LMT
FL
Enumeration date
06/09/2012
Last updated
06/09/2012
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