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1255010864
ALEX ALVAREZ
MARIETTA, GA
NPI
1255010864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA 86265268)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
ALEX ALVAREZ RD
182 MARK AVE
MARIETTA, GA 30066-6161
Phone number: 229-462-9512
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Mailing Address
ALEX ALVAREZ RD
182 MARK AVE
MARIETTA, GA 30066-6161
Phone number: 229-462-9512
Copy
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