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1720122211
SALLY LONG
SEATTLE, WA
NPI
1720122211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00000519)
Enumeration Date
2007-02-16
Last Update Date
2009-08-12
Business Address
-- SALLY LONG R.D.
310 15TH AVE E
SEATTLE, WA 98112-5103
Phone number: 206-326-3000
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Mailing Address
-- SALLY LONG R.D.
PO BOX 34581
SEATTLE, WA 98124-1581
Phone number: 509-241-7349
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