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1770719916
KIMBERLY M WIEDMAN
VANCOUVER, WA
NPI
1770719916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2009-06-02
Last Update Date
2009-06-02
Business Address
-- KIMBERLY M WIEDMAN RD
1601 E FOURTH PLAIN BLVD BUILDING 17
VANCOUVER, WA 98661-3753
Phone number: 360-397-8473
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Mailing Address
-- KIMBERLY M WIEDMAN RD
PO BOX 9825
VANCOUVER, WA 98666-8825
Phone number: 360-397-8473
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