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1861563579
SUSAN MARIE EDGERLY
SPOKANE, WA
NPI
1861563579
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Former Name
SUSAN MARIE HOLLAND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00001556)
Enumeration Date
2006-11-13
Last Update Date
2009-09-01
Business Address
-- SUSAN MARIE EDGERLY R.D., C.D.
800 W 5TH AVE
SPOKANE, WA 99210-0248
Phone number: 509-473-2272
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Mailing Address
-- SUSAN MARIE EDGERLY R.D., C.D.
PO BOX 842151
DALLAS, TX 75284-2151
Phone number: 509-458-5800
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