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1215417704
JOHANNA NICOLE DIBBLE
LYNNWOOD, WA
NPI
1215417704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86065807)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
MISS JOHANNA NICOLE DIBBLE RD
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036-6763
Phone number: 425-776-0803
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Mailing Address
MISS JOHANNA NICOLE DIBBLE RD
1110 26TH AVE
SEATTLE, WA 98122-4920
Phone number: 775-842-5400
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