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1093071151
SHARON JOY MASCOE-MAXWELL
FAYETTEVILLE, GA
NPI
1093071151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD002930)
Enumeration Date
2012-04-03
Last Update Date
2012-04-03
Business Address
Mrs. SHARON JOY MASCOE-MAXWELL RD., LD.
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-6728
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Mailing Address
Mrs. SHARON JOY MASCOE-MAXWELL RD., LD.
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214-4526
Phone number: 770-719-6728
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