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1225478175
KELLI GROTH
SPOKANE, WA
NPI
1225478175
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Former Name
KELLI FRIESTAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI60271169)
Enumeration Date
2013-06-25
Last Update Date
2015-10-15
Business Address
-- KELLI GROTH RD
101 W 8TH AVE SUITE 1100
SPOKANE, WA 99204-2307
Phone number: 509-474-4060
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Mailing Address
-- KELLI GROTH RD
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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