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Individual

DR. LOUANN C BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
8205 SLEEPING BEAR DR NW, ALBUQUERQUE, NM 87120-2894
(480) 555-5555
Mailing address
8736 E. BROADWAY BLVD, TUCSON, AZ 85710

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006704
NM

Other

Enumeration date
11/01/2009
Last updated
08/03/2012
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