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1619141199
TANYA ROESIJADI
RENTON, WA
NPI
1619141199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00001910)
Enumeration Date
2008-04-16
Last Update Date
2008-04-16
Business Address
TANYA ROESIJADI RD, CD
3001 NE 4TH ST
RENTON, WA 98056-4122
Phone number: 206-205-1679
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Mailing Address
TANYA ROESIJADI RD, CD
3221 NW MARKET ST
SEATTLE, WA 98107-3322
Phone number: 206-527-7204
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