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1972674083
ALEXANDRA M JACK
VANCOUVER, WA
NPI
1972674083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 560)
Enumeration Date
2006-11-11
Last Update Date
2013-10-10
Business Address
Mrs. ALEXANDRA M JACK RD
8716 E MILL PLAIN BLVD SPECIALTY CLINICS BUILDING
VANCOUVER, WA 98664-2531
Phone number: 360-514-7932
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Mailing Address
Mrs. ALEXANDRA M JACK RD
8716 E MILL PLAIN BLVD SPECIALTY CLINICS BUILDING
VANCOUVER, WA 98664-2531
Phone number: 360-514-7932
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