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1003346883
CYNTHIA BRANTLY
MONROE, LA
NPI
1003346883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1158)
Enumeration Date
2017-06-14
Last Update Date
2019-06-11
Business Address
CYNTHIA BRANTLY RD
1325 LOUISVILLE AVE
MONROE, LA 71201-6021
Phone number: 318-807-1500
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Mailing Address
CYNTHIA BRANTLY RD
130 DESIARD ST STE 355
MONROE, LA 71201-7363
Phone number: 318-807-7875
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