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Individual

CAMILLE N BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 EDGEWOOD CT, DALY CITY, CA 94014-1841
(650) 994-7110
(650) 994-7180
Mailing address
901 PUTNAM ST, ANTIOCH, CA 94509-4729
(925) 978-2979

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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