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Individual

MARILYN ANNE BURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., C.D.

Contact information

Practice address
835 SE BISHOP BLVD, PULLMAN, WA 99163-5512
(509) 336-7543
(509) 336-7642
Mailing address
835 SE BISHOP BLVD, PULLMAN, WA 99163-5512
(509) 336-7543
(509) 336-7642

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000063
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8282337
WA
Enumeration date
05/22/2008
Last updated
05/22/2008
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