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Individual

JAMES MICHAEL BRANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1200 ENTERPRISE BLVD, LAKE CHARLES, LA 70601
(337) 439-9313
(337) 439-8045
Mailing address
1200 ENTERPRISE BLVD, LAKE CHARLES, LA 70601
(337) 439-9313
(337) 439-8045

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3017
TX
111N00000X
Chiropractor
Primary
482
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0066715001
CIGNA
Enumeration date
06/22/2006
Last updated
07/08/2007
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