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1639623481
DANETTE WICKMAN
KIRKLAND, WA
NPI
1639623481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00001863)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
-- DANETTE WICKMAN RD
12040 NE 128TH ST
KIRKLAND, WA 98034-3013
Phone number: 425-899-1551
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Mailing Address
-- DANETTE WICKMAN RD
12040 NE 128TH ST
KIRKLAND, WA 98034-3013
Phone number: 425-899-1551
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