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1912550526
JUSTIN BRANHAM
BRIDGEPORT, CT
NPI
1912550526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 10711)
Enumeration Date
2019-07-23
Last Update Date
2024-06-24
Business Address
JUSTIN BRANHAM APRN
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 120-357-6600
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Mailing Address
JUSTIN BRANHAM APRN
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109-4337
Phone number:
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