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1205093911
ANNIE FREDERICK
SPOKANE VALLEY, WA
NPI
1205093911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00000556)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
-- ANNIE FREDERICK RDT
11703 E SPRAGUE AVE STE C3
SPOKANE VALLEY, WA 99206-6129
Phone number: 509-921-6560
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Mailing Address
-- ANNIE FREDERICK RDT
PO BOX 1576
NEWPORT, WA 99156-1576
Phone number: 509-921-6560
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