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1982309506
JONATHAN BRAINARD
FORT CAMPBELL, KY
NPI
1982309506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2023-04-03
Last Update Date
2024-01-30
Business Address
JONATHAN BRAINARD MS, RD, CSSD, CSCS
7246 NIGHTSTALKER WAY
FORT CAMPBELL, KY 42223-5151
Phone number: 270-798-8727
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Mailing Address
JONATHAN BRAINARD MS, RD, CSSD, CSCS
7246 NIGHTSTALKER WAY
FORT CAMPBELL, KY 42223-5151
Phone number:
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