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Individual

DEANNA KEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7312 HOGAN DR, BENBROOK, TX 76126-4585
(817) 721-6487
Mailing address
4100 INTERNATIONAL PLZ STE 2B4, FORT WORTH, TX 76109-4821
(817) 721-6487

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06256
TX

Other

Enumeration date
03/29/2020
Last updated
04/23/2020
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