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1154576445
STACY ANN PAINE
ATLANTA, GA
NPI
1154576445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD002157)
Enumeration Date
2008-12-01
Last Update Date
2024-03-21
Business Address
MRS. STACY ANN PAINE RD, LD
6674 CADENCE BLVD
ATLANTA, GA 30328-2874
Phone number: 404-937-3338
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Mailing Address
MRS. STACY ANN PAINE RD, LD
1061 WHISPERING LAKES TRL
MADISON, GA 30650-6325
Phone number: 678-773-1853
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