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1023031820
PHYLLIS ANN GATEWOOD
DECATUR, GA
NPI
1023031820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD002897)
Enumeration Date
2006-07-25
Last Update Date
2007-07-11
Business Address
-- PHYLLIS ANN GATEWOOD R.D.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
-- PHYLLIS ANN GATEWOOD R.D.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Copy
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