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1619946704
LEANETTA ALLEN
JACKSON, TN
NPI
1619946704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN RD1307)
Enumeration Date
2006-03-14
Last Update Date
2012-11-29
Business Address
LEANETTA ALLEN RD
700 W FOREST AVE STE 300
JACKSON, TN 38301-3937
Phone number: 731-422-0330
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Mailing Address
LEANETTA ALLEN RD
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-423-8697
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