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1720442577
STEPHANIE LIPSCOMBE SELASSIE
ATLANTA, GA
NPI
1720442577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
-- STEPHANIE LIPSCOMBE SELASSIE CN
255 SOUTHERLAND TER NE
ATLANTA, GA 30307-2301
Phone number: 404-919-5306
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Mailing Address
-- STEPHANIE LIPSCOMBE SELASSIE CN
PO BOX 467563
ATLANTA, GA 31146-7563
Phone number: 404-919-5306
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