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Individual

ALISSA RAE BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 767-2175
Mailing address
18 LAB DR, BUCHANAN, TN 38222-3555
(731) 641-6347

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
KY-1610
KY

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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