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1871916296
KELLY PETERSON
SEATTLE, WA
NPI
1871916296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA 1105841)
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
KELLY PETERSON RD
325 9TH AVE BOX 359790
SEATTLE, WA 98104-2420
Phone number: 206-744-5004
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Mailing Address
KELLY PETERSON RD
325 9TH AVE BOX 359790
SEATTLE, WA 98104-2420
Phone number:
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