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1821474545
AMANDA LEI SULLIVAN
SEATTLE, WA
NPI
1821474545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI 60269983)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
-- AMANDA LEI SULLIVAN RD CD CNSC
1959 NE PACIFIC ST BOX 356043
SEATTLE, WA 98195-0001
Phone number: 206-598-6924
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Mailing Address
-- AMANDA LEI SULLIVAN RD CD CNSC
4308 4TH AVE NE
SEATTLE, WA 98105-6105
Phone number: 218-205-8996
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