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1265046411
GENA BAISA
FORT CAMPBELL, KY
NPI
1265046411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT84565)
Enumeration Date
2020-09-04
Last Update Date
2024-10-02
Business Address
GENA BAISA RDN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8727
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Mailing Address
GENA BAISA RDN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8727
Copy
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