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1710041660
SUSAN R WANG
SEATTLE, WA
NPI
1710041660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA ID00000585)
Enumeration Date
2006-12-21
Last Update Date
2009-02-18
Business Address
-- SUSAN R WANG RD
910 BOYLSTON AVE
SEATTLE, WA 98104-1313
Phone number: 206-215-2440
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Mailing Address
-- SUSAN R WANG RD
PO BOX 84026
SEATTLE, WA 98124-8426
Phone number: 206-320-4476
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