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1578128922
COLTON J ISHAM
WENATCHEE, WA
NPI
1578128922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI60959693)
Enumeration Date
2019-05-01
Last Update Date
2020-07-22
Business Address
Mr. COLTON J ISHAM RD
1201 S MILLER ST
WENATCHEE, WA 98801-3201
Phone number: 509-663-8711
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Mailing Address
Mr. COLTON J ISHAM RD
820 N CHELAN AVE
WENATCHEE, WA 98801-2028
Phone number: 509-663-8711
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