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1245395144
LAURA ANNA FORTIN
RENTON, WA
NPI
1245395144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00001904)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
MRS. LAURA ANNA FORTIN R.D., C.D.
3001 NE 4TH ST
RENTON, WA 98056-4122
Phone number: 206-205-1674
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Mailing Address
MRS. LAURA ANNA FORTIN R.D., C.D.
23723 119TH PL SE
KENT, WA 98031
Phone number: 253-631-1318
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