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1164937496
GENE D BRANUM PC
KETCHUM, ID
NPI
1164937496
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Entity Type
Organization
Authorized Contact
GENE DALE BRANUM
Owner
208-726-3707
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M-13897)
Enumeration Date
2017-12-08
Last Update Date
2020-06-05
Business Address
GENE D BRANUM PC
180 1ST ST W STE 301
KETCHUM, ID 83340-0180
Phone number: 208-726-3707
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Mailing Address
GENE D BRANUM PC
PO BOX 3778
KETCHUM, ID 83340-3778
Phone number: 208-726-3707
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