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1801551106
MAGDA NICOLE SIM
BELLEVUE, WA
NPI
1801551106
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Former Name
MAGDA NICOLE OGOREK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA 86150059)
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
MAGDA NICOLE SIM RD
4455 148TH AVE NE
BELLEVUE, WA 98007-3120
Phone number: 425-861-6255
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Mailing Address
MAGDA NICOLE SIM RD
1241 121ST AVE NE APT A101
BELLEVUE, WA 98005-5025
Phone number: 914-282-8031
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