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1417770629
DEJA IVY
ATLANTA, GA
NPI
1417770629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD006151)
Enumeration Date
2024-11-05
Last Update Date
2024-11-07
Business Address
Ms. DEJA IVY Ms, RD , LD
1448 JEFFERSON DR
ATLANTA, GA 30350-7121
Phone number: 773-891-6240
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Mailing Address
Ms. DEJA IVY Ms, RD , LD
1448 JEFFERSON DR
ATLANTA, GA 30350-7121
Phone number: 773-891-6240
Copy
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