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Individual
ZACHARY JAMES VAN WAGNER
Active
Individual
ZACHARY JAMES VAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
WA
133V00000X
Registered Dietitian
Primary
DI60117872
WA
Other
Enumeration date
09/23/2019
Last updated
10/02/2019
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