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1902182843
BRIANNA JO PETERSON
DALLAS, TX
NPI
1902182843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX 1010017)
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
-- BRIANNA JO PETERSON RD, LD, CI-CPT
8100 LOMO ALTO DR SUITE 100
DALLAS, TX 75225-6530
Phone number: 832-423-4314
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Mailing Address
-- BRIANNA JO PETERSON RD, LD, CI-CPT
1460 MERION DR
ROCKWALL, TX 75087-2333
Phone number: 832-423-4314
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