AUTUMN BRANCA

FARGO, ND
NPI1275763955
Former NameAUTUMN BRANCA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC0414)
Enumeration Date2009-07-16
Last Update Date2012-05-17
Business Address
-- AUTUMN BRANCA PA-C
2601 BROADWAY N
FARGO, ND 58102-6704
Phone number: 701-234-2900
Mailing Address
-- AUTUMN BRANCA PA-C
2601 BROADWAY N
FARGO, ND 58102-6704
Phone number: 701-234-2900
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