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1710909809
OFELIA BAYUTAS MUTIA
LAWRENCEVILLE, GA
NPI
1710909809
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Former Name
OFELIA MUTIA MILLIGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA LD002082)
Enumeration Date
2006-07-24
Last Update Date
2015-01-19
Business Address
Ms. OFELIA BAYUTAS MUTIA RD
965 DULUTH HWY STE 101
LAWRENCEVILLE, GA 30043-7316
Phone number: 678-683-2786
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Mailing Address
Ms. OFELIA BAYUTAS MUTIA RD
965 DULUTH HWY STE 101
LAWRENCEVILLE, GA 30043-7316
Phone number: 678-683-2786
Copy
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