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1477616951
MARY D WALTERS
CONYERS, GA
NPI
1477616951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD000571)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- MARY D WALTERS RD, LD
1329 PORTMAN DR SE STE. D
CONYERS, GA 30094-6619
Phone number: 770-785-5936
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Mailing Address
-- MARY D WALTERS RD, LD
PO BOX 897
LAWRENCEVILLE, GA 30046-0897
Phone number: 770-339-4260
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