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1811910755
JUDY D. SIMON
SEATTLE, WA
NPI
1811910755
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Other Name
JUDY D. GARDNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00001314)
Enumeration Date
2006-07-25
Last Update Date
2007-07-09
Business Address
-- JUDY D. SIMON RD, MS
4245 ROOSEVELT WAY BOX 356057
SEATTLE, WA 98195-0001
Phone number: 206-598-4055
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Mailing Address
-- JUDY D. SIMON RD, MS
PO BOX 24366 M/S 359107
SEATTLE, WA 98124-0366
Phone number: 206-598-8920
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