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1225240054
DIANE REITEN DIETERICH
SEATTLE, WA
NPI
1225240054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: WA MA00006619)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
DIANE REITEN DIETERICH
6515 12TH AVE NE
SEATTLE, WA 98115-6753
Phone number: 206-409-1142
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Mailing Address
DIANE REITEN DIETERICH
827 NW 106TH ST
SEATTLE, WA 98177-5133
Phone number: 206-409-1142
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