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1629127345
JIM BRANCH
PORT ORANGE, FL
NPI
1629127345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW0607)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. JIM BRANCH Ph.D.
4319 S RIDGEWOOD AVE
PORT ORANGE, FL 32127-4522
Phone number: 386-451-5126
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Mailing Address
Dr. JIM BRANCH Ph.D.
4319 S RIDGEWOOD AVE
PORT ORANGE, FL 32127-4522
Phone number: 386-451-5126
Copy
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