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1104147750
JAIME JOANN WALICZEK
SEATTLE, WA
NPI
1104147750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI60149382)
Enumeration Date
2010-06-17
Last Update Date
2010-06-17
Business Address
-- JAIME JOANN WALICZEK MS, RD, CD
4241 11TH AVE NE STE B
SEATTLE, WA 98105-4674
Phone number: 425-445-0921
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Mailing Address
-- JAIME JOANN WALICZEK MS, RD, CD
4241 11TH AVE NE STE B
SEATTLE, WA 98105-4674
Phone number: 425-445-0921
Copy
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