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1265631436
ELIZABETH B REVILLA
ATLANTA, GA
NPI
1265631436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: GA LD002723)
Enumeration Date
2007-07-17
Last Update Date
2007-07-17
Business Address
-- ELIZABETH B REVILLA MS, RD, LD, CSP
1547 CLIFTON RD NE
ATLANTA, GA 30322-4008
Phone number: 404-785-1784
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Mailing Address
-- ELIZABETH B REVILLA MS, RD, LD, CSP
1547 CLIFTON RD NE
ATLANTA, GA 30322-4008
Phone number: 404-785-1784
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