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Individual

MS. ANGELA STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NUTRITIONIST LD

Contact information

Practice address
99 JESSE HILL JR DRIVE, ATLANTA, GA 30303
(404) 730-1430
(404) 730-1520
Mailing address
99 JESSE HILL JR DRIVE, ATLANTA, GA 30303

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
LD001695
GA

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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