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1124096862
RUSSELL L. BRANCH
MARIETTA, GA
NPI
1124096862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN174552)
Enumeration Date
2006-03-09
Last Update Date
2018-08-15
Business Address
RUSSELL L. BRANCH CRNA
531 ROSELANE ST NW SUITE 830
MARIETTA, GA 30060
Phone number: 770-794-0477
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Mailing Address
RUSSELL L. BRANCH CRNA
531 ROSELANE ST NW SUITE 830
MARIETTA, GA 30060-6913
Phone number: 770-794-0477
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