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Individual

GAIL RAVELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.H.D. , I.M.D., ND

Contact information

Practice address
490 SUN VALLEY DR, SUITE 203, ROSWELL, GA 30076-5642
(770) 674-6311
(888) 551-2391
Mailing address
490 SUN VALLEY DR, SUITE 203, ROSWELL, GA 30076-5690
(770) 674-6311
(888) 551-2391

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
L-6874975
TX
175F00000X
Naturopath
Primary
L-6874975
TX

Other

Enumeration date
11/01/2015
Last updated
11/10/2015
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