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1104433713
CASSADY BLACK
DOUGLASVILLE, GA
NPI
1104433713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management
(Licence: GA LD005540)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
CASSADY BLACK
9543 POPLAR CT
DOUGLASVILLE, GA 30135-1798
Phone number: 678-477-4169
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Mailing Address
CASSADY BLACK
9543 POPLAR CT
DOUGLASVILLE, GA 30135-1798
Phone number: 678-477-4169
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