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1144853144
BREANNA MARIE PETRUCCIANI
GRAND RAPIDS, MI
NPI
1144853144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
BREANNA MARIE PETRUCCIANI MS, RDN
2060 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546-6113
Phone number: 616-956-6100
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Mailing Address
BREANNA MARIE PETRUCCIANI MS, RDN
20 DWIGHT AVE SE
GRAND RAPIDS, MI 49506-1436
Phone number: 317-432-0226
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