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Individual

MRS. JENNIFER GILLEY CLOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
8 MEDICAL PARK, VALLEY, AL 36854-3665
(334) 756-4192
Mailing address
107 COLLEGE AVE, LAGRANGE, GA 30240-3013
(706) 594-2449

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003278
GA

Other

Enumeration date
09/17/2007
Last updated
10/01/2015
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