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1154615086
BRENDA JOAN BRANNON
WINNFIELD, LA
NPI
1154615086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: TX 20558960)
Enumeration Date
2011-06-08
Last Update Date
2015-10-15
Business Address
-- BRENDA JOAN BRANNON LPTA
116 DOGWOOD DR
WINNFIELD, LA 71483-5000
Phone number: 409-594-4912
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Mailing Address
-- BRENDA JOAN BRANNON LPTA
116 DOGWOOD DR
WINNFIELD, LA 71483-5000
Phone number: 409-594-4912
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