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Individual

MS. MARY K AARDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-6591
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-6591

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001648
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8422917
WA
01
9366AA
ASURIS NORTHWEST HEALTH
WA
Enumeration date
07/12/2007
Last updated
07/12/2007
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