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1174979710
SEASON FAGAN
RENTON, WA
NPI
1174979710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI60629286)
Enumeration Date
2016-05-13
Last Update Date
2016-05-13
Business Address
SEASON FAGAN
3201 NE 7TH ST
RENTON, WA 98056-3729
Phone number: 206-477-0100
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Mailing Address
SEASON FAGAN
3201 NE 7TH ST
RENTON, WA 98056-3729
Phone number:
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