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Individual

LEANETTA ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
700 W FOREST AVE, STE 300, JACKSON, TN 38301-3937
(731) 422-0330
(731) 422-0220
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD1307
TN

Other

Enumeration date
03/14/2006
Last updated
11/29/2012
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