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1356978340
TWYLA DOUGLAS JACKSON
ATLANTA, GA
NPI
1356978340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1301X Dietitian, Registered Nutrition, Oncology
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
TWYLA DOUGLAS JACKSON RDN, CSO, LD
CLINICAL NUTRITION 1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Phone number: 404-432-2916
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Mailing Address
TWYLA DOUGLAS JACKSON RDN, CSO, LD
1704 SUMMIT VILLAGE LN
MARIETTA, GA 30066-5962
Phone number: 404-432-2916
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