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1508905050
GAY LYNN LEVAN
FORT HOOD, TX
NPI
1508905050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX 858005)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- GAY LYNN LEVAN RD
36000 DARNALL LOOP RM 0609
FORT HOOD, TX 76544-5095
Phone number: 254-288-8860
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Mailing Address
-- GAY LYNN LEVAN RD
1105 ALEXANDER ST
KILLEEN, TX 76541-3772
Phone number: 254-501-8632
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