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1760029953
MADISON SERVICE
SEATTLE, WA
NPI
1760029953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86150924)
Enumeration Date
2019-12-06
Last Update Date
2019-12-06
Business Address
MADISON SERVICE RD, CD
3707 CORLISS AVE N
SEATTLE, WA 98103-9116
Phone number: 913-909-1757
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Mailing Address
MADISON SERVICE RD, CD
3707 CORLISS AVE N
SEATTLE, WA 98103-9116
Phone number: 913-909-1757
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