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1447649579
MIKELL BRANCH
SANTA MONICA, CA
NPI
1447649579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 14487)
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
Mr. MIKELL BRANCH
1323 17TH ST
SANTA MONICA, CA 90404-1901
Phone number: 310-453-5456
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Mailing Address
Mr. MIKELL BRANCH
1323 17TH ST
SANTA MONICA, CA 90404-1901
Phone number:
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