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1891283560
MIKAELA CARRILLO
SPOKANE, WA
NPI
1891283560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA 6)
Enumeration Date
2018-04-27
Last Update Date
2018-04-27
Business Address
MIKAELA CARRILLO RD, CD
2020 E 29TH AVE STE 210
SPOKANE, WA 99203-3950
Phone number: 949-697-1175
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Mailing Address
MIKAELA CARRILLO RD, CD
2020 E 29TH AVE STE 210
SPOKANE, WA 99203-3950
Phone number:
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