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1750134797
LESLIE ANN WALL
SPOKANE, WA
NPI
1750134797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-1450)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
LESLIE ANN WALL RD
1515 S TECHNOLOGY RD
SPOKANE, WA 99224-5003
Phone number: 888-664-0363
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Mailing Address
LESLIE ANN WALL RD
3091 N ATLAS RD APT 304
COEUR D ALENE, ID 83814-6359
Phone number: 720-323-3932
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