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Individual
MS. KELLY JEAN BRASSEUR
Active
Individual
MS. KELLY JEAN BRASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.002765
IL
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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