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1710270210
CAROL JEAN WHITE
RENTON, WA
NPI
1710270210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI 60209104)
Enumeration Date
2011-05-17
Last Update Date
2011-05-17
Business Address
CAROL JEAN WHITE R.D.
500 SW 39TH ST SUITE 150
RENTON, WA 98057-4915
Phone number: 425-264-2584
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Mailing Address
CAROL JEAN WHITE R.D.
15515 JUANITA WOODINVILLE WAY NE APT C204
BOTHELL, WA 98011-1576
Phone number: 818-445-7852
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