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1093146292
MAMI SORAJO
PUYALLUP, WA
NPI
1093146292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI 00001474)
Enumeration Date
2013-12-13
Last Update Date
2013-12-13
Business Address
-- MAMI SORAJO R.D.
2904 4TH AVE NE STE 300
PUYALLUP, WA 98372-7053
Phone number: 253-840-6448
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Mailing Address
-- MAMI SORAJO R.D.
PO BOX 2170
SUMNER, WA 98390-0480
Phone number: 253-840-2313
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