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Individual
MS. TRACY L BRUEN
Active
Individual
MS. TRACY L BRUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT80898
TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
TX
Enumeration date
12/19/2006
Last updated
12/12/2008
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