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Date: 27 August 2004
| Rank | Name | Nation | Time |
| 1 | Gunn-Rita Dahle | NOR | 1:56:51 |
| 2 | Marie-Helene Premont | CAN | 1:57:50 |
| 3 | Sabine Spitz | GER | 1:59:21 |
| 4 | Alison Sydor | CAN | 1:59:47 |
| 5 | Elsbeth van Rooy-Vink | NED | 2:01:41 |
| 6 | Maja Wloszczowska | POL | 2:02:08 |
| 7 | Ivonne Kraft | GER | 2:05:18 |
| 8 | Laurence Leboucher | FRA | 2:05:34 |
| 9 | Mary McConneloug | USA | 2:06:12 |
| 10 | Lisa Mathison | AUS | 2:07:01 |
| 11 | Anna Szafraniec | POL | 2:07:44 |
| 12 | Jimena Florit | ARG | 2:08:42 |
| 13 | Irina Kalentyeva | RUS | 2:08:57 |
| 14 | Barbel Jungmeier | AUT | 2:09:22 |
| 15 | Kiara Bisaro | CAN | 2:09:50 |
| 16 | Robyn Wong | NZL | 2:10:59 |
| 17 | Ma Yanping | CHN | 2:13:18 |
| 18 | Jaqueline Mourao | BRA | 2:13:52 |
| 19 | Katrin Leumann | SUI | 2:16:07 |
| 20 | Maria Ostergren | SWE | 2:16:16 |
| 21 | Karen Matamoros | CRC | 1 Laps Down |
| 22 | Yukari Nakagome | JPN | 1 Laps Down |
| 23 | Jenny McCauley | IRL | 1 Laps Down |
| 24 | Elina Sofocleous | CYP | 2 Laps Down |
| Did not finish | |||
| Margarita "Marga" Fullana | ESP | ||
| Magdalena Sadlecka | POL | ||
| Barbara Blatter | SUI | ||
| Mette Andersen | DEN | ||
| Paola Pezzo | ITA | ||
| Janka Stevkova | SVK | ||