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1407921364
PHYLLIS P KIRK
AUBURN, WA
NPI
1407921364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA 851100)
Enumeration Date
2006-11-22
Last Update Date
2007-07-09
Business Address
PHYLLIS P KIRK RD
126 AUBURN AVE SUITE 400
AUBURN, WA 98002-5057
Phone number: 206-205-6801
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Mailing Address
PHYLLIS P KIRK RD
4511 S 283RD ST
AUBURN, WA 98001-1108
Phone number: 206-205-6801
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