MARY LOUISE SLULLIVAN

AUGUSTA, GA
NPI1932329646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD000433)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
-- MARY LOUISE SLULLIVAN R.D., LD, MA
2361 TOBACCO RD
AUGUSTA, GA 30906-9220
Phone number: 706-793-4401
Mailing Address
-- MARY LOUISE SLULLIVAN R.D., LD, MA
3522 HILLTOP DR
AUGUSTA, GA 30906-5732
Phone number: 706-796-8739
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