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1174781967
KELLI FREDERICK
SPOKANE VALLEY, WA
NPI
1174781967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00001335)
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
-- KELLI FREDERICK RD
11703 E SPRAGUE AVE BLDG C-3
SPOKANE VALLEY, WA 99206-6128
Phone number: 509-921-6560
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Mailing Address
-- KELLI FREDERICK RD
909 W WOODWAY AVE
SPOKANE, WA 99218-2663
Phone number: 509-921-6560
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