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1760030456
STEPHANIE MICHELLE MICHAEL
LONGVIEW, WA
NPI
1760030456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA 60794582)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
Ms. STEPHANIE MICHELLE MICHAEL MS, RDN
615 7TH AVE # 17
LONGVIEW, WA 98632-1606
Phone number: 808-870-3389
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Mailing Address
Ms. STEPHANIE MICHELLE MICHAEL MS, RDN
615 7TH AVE # 17
LONGVIEW, WA 98632-1606
Phone number: 808-870-3389
Copy
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