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Individual
SANDRA G. BRASSARD
Active
Individual
SANDRA G. BRASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001647
GA
163WD0400X
Diabetes Educator Registered Nurse
LD001647
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521627205A
—
GA
Enumeration date
05/09/2007
Last updated
12/08/2021
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