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Individual
GARREN MARK BRANNON
Active
Individual
GARREN MARK BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002841
NC
Other
Enumeration date
12/28/2005
Last updated
11/15/2016
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