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1114219136
SUSIE S PARK
ATLANTA, GA
NPI
1114219136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD003680)
Enumeration Date
2011-05-10
Last Update Date
2011-05-10
Business Address
MS. SUSIE S PARK MS, RD, LD
5238 PEACHTREE RD
ATLANTA, GA 30341-2718
Phone number: 770-455-7602
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Mailing Address
MS. SUSIE S PARK MS, RD, LD
5238 PEACHTREE RD
ATLANTA, GA 30341-2718
Phone number:
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