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1992019830
BRETT HERMAN BANEY
FAYETTEVILLE, AR
NPI
1992019830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA DN004251)
Enumeration Date
2010-08-03
Last Update Date
2022-03-11
Business Address
Mr. BRETT HERMAN BANEY R.D.
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-790-0458
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Mailing Address
Mr. BRETT HERMAN BANEY R.D.
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-790-0458
Copy
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