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1346472834
YAQUTULLAH IBRAHEEM
ATLANTA, GA
NPI
1346472834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA 003181)
Enumeration Date
2009-08-17
Last Update Date
2018-12-19
Business Address
Ms. YAQUTULLAH IBRAHEEM MS, RD, LD
4071 CODEL ST SW
ATLANTA, GA 30331-4355
Phone number: 404-454-7356
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Mailing Address
Ms. YAQUTULLAH IBRAHEEM MS, RD, LD
2670 MIRIAM LN
DECATUR, GA 30032-5731
Phone number: 404-454-7356
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