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1922730993
CHRISTINA KELLY
VANCOUVER, WA
NPI
1922730993
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Former Name
CHRISTINA CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI64004699)
Enumeration Date
2022-06-28
Last Update Date
2022-06-28
Business Address
CHRISTINA KELLY
9105 NE HIGHWAY 99 STE 201A
VANCOUVER, WA 98665-8974
Phone number: 360-576-1350
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Mailing Address
CHRISTINA KELLY
2407 NW 121ST CIR
VANCOUVER, WA 98685-2018
Phone number: 734-644-5099
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