LESLIE BRACKEN

FORT WORTH, TX
NPI1932429867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT06772)
Enumeration Date2010-06-02
Last Update Date2011-12-06
Business Address
-- LESLIE BRACKEN RD/LD
3840 HULEN ST HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76107-7277
Phone number: 817-569-4396
Mailing Address
-- LESLIE BRACKEN RD/LD
PO BOX 2603 HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76113-2603
Phone number: 817-569-4396
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