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1699967471
TAMMY BRADFORD PENNINGTON
MONROE, LA
NPI
1699967471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 578)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
Mrs. TAMMY BRADFORD PENNINGTON RD, CSR, LDN
711 WOOD ST
MONROE, LA 71201-7549
Phone number: 318-323-8847
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Mailing Address
Mrs. TAMMY BRADFORD PENNINGTON RD, CSR, LDN
175 COMANCHE TRL
WEST MONROE, LA 71291-8105
Phone number: 318-396-9293
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