STEPHANIE D BRANCH

SALEM, IL
NPI1508134396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.009208)
Enumeration Date2011-12-07
Last Update Date2013-05-30
Business Address
-- STEPHANIE D BRANCH APN
1201 RICKER RD
SALEM, IL 62881-4263
Phone number: 618-548-3194
Mailing Address
-- STEPHANIE D BRANCH APN
2976 COTTON LN
CENTRALIA, IL 62801-9569
Phone number: 618-322-5120
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