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1558869420
THERESA LYNN BERGHOLZ
SEATTLE, WA
NPI
1558869420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA 60814610)
Enumeration Date
2018-01-25
Last Update Date
2018-01-25
Business Address
THERESA LYNN BERGHOLZ
1100 9TH AVE
SEATTLE, WA 98101-2756
Phone number: 206-223-6729
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Mailing Address
THERESA LYNN BERGHOLZ
1100 9TH AVE
SEATTLE, WA 98101-2756
Phone number:
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