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1730581711
LIV MONGILLO
KENT, WA
NPI
1730581711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI60436312)
Enumeration Date
2014-09-21
Last Update Date
2014-12-03
Business Address
MRS. LIV MONGILLO M.S., R.D.N., C.D.
25012 104TH AVE SE SUITE C
KENT, WA 98030-2821
Phone number: 253-856-3477
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Mailing Address
MRS. LIV MONGILLO M.S., R.D.N., C.D.
PO BOX 2170
SUMNER, WA 98390-0480
Phone number: 253-840-2313
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