LORAN CALLIE LANE

FORT BENNING, GA
NPI1114300910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT82615)
Enumeration Date2015-06-30
Last Update Date2015-06-30
Business Address
-- LORAN CALLIE LANE R.D.
6600 VAN AALST BLVD
FORT BENNING, GA 31905-5637
Phone number: 762-408-2273
Mailing Address
-- LORAN CALLIE LANE R.D.
1219 SHIPLEY DR
NICEVILLE, FL 32578-3956
Phone number: 817-734-6255
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