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1912185174
KIMBERLY J MATHAI
LYNNWOOD, WA
NPI
1912185174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00000974)
Enumeration Date
2008-02-08
Last Update Date
2011-12-08
Business Address
KIMBERLY J MATHAI RD, CDE
16523 7TH PL W
LYNNWOOD, WA 98037-8107
Phone number: 425-412-3280
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Mailing Address
KIMBERLY J MATHAI RD, CDE
2111 N NORTHGATE WAY STE 217
SEATTLE, WA 98133-9018
Phone number: 206-363-5420
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