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1104489954
ALIXANDRA BIANCA LEESTMA
TACOMA, WA
NPI
1104489954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI60943877)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
ALIXANDRA BIANCA LEESTMA
2202 S CEDAR ST STE 300
TACOMA, WA 98405-2318
Phone number: 253-301-5280
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Mailing Address
ALIXANDRA BIANCA LEESTMA
PO BOX 5299 MS: 737-3-PCON
TACOMA, WA 98415-0299
Phone number:
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