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1447592985
TIFFANY LACHELLE AVERA
ATLANTA, GA
NPI
1447592985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1004X Dietitian, Registered Nutrition, Pediatric
(Licence: GA LD003667)
Enumeration Date
2013-03-22
Last Update Date
2013-03-22
Business Address
TIFFANY LACHELLE AVERA
80 JESSE HILL JR DR SE
ATLANTA, GA 30303-3031
Phone number: 404-616-6172
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Mailing Address
TIFFANY LACHELLE AVERA
2724 PANGBORN RD
DECATUR, GA 30033-2326
Phone number:
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