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1497313472
CASEY TERRELL
DECATUR, GA
NPI
1497313472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L005775)
Enumeration Date
2019-06-04
Last Update Date
2021-01-07
Business Address
CASEY TERRELL RD
3155 BEECH DR
DECATUR, GA 30032-2400
Phone number: 803-646-8343
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Mailing Address
CASEY TERRELL RD
3155 BEECH DR
DECATUR, GA 30032-2400
Phone number: 803-646-8343
Copy
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