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1215688007
BLAKE BRAUNING
COLUMBIA, SC
NPI
1215688007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
BLAKE BRAUNING MS,RD,CSSD,LD
4500 STUART ST
COLUMBIA, SC 29207-5700
Phone number: 803-751-2169
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Mailing Address
BLAKE BRAUNING MS,RD,CSSD,LD
1041 BELMONT GREEN RD
COLUMBIA, SC 29209-4362
Phone number: 513-846-0368
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