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Date: 27 February 2010
| Rank | Name | Nation | Time |
| 1 | Justyna Kowalczyk | POL | 1:30:33.7 |
| 2 | Marit Bjørgen | NOR | 1:30:34.0 |
| 3 | Aino-Kaisa Saarinen | FIN | 1:31:38.7 |
| 4 | Evi Sachenbacher-Stehle | GER | 1:31:52.9 |
| 5 | Masako Ishida | JPN | 1:31:56.5 |
| 6 | Charlotte Kalla | SWE | 1:31:57.6 |
| 7 | Therese Johaug | NOR | 1:32:01.3 |
| 8 | Kristin Størmer Steira | NOR | 1:32:04.4 |
| 9 | Anna Olsson | SWE | 1:33:00.3 |
| 10 | Karine Laurent Philippot | FRA | 1:33:11.4 |
| 11 | Kornelia Marek | POL | 1:33:15.4 |
| 12 | Marianna Longa | ITA | 1:33:19.9 |
| 13 | Riikka Sarasoja | FIN | 1:33:33.2 |
| 14 | Virpi Kuitunen | FIN | 1:33:36.7 |
| 15 | Aurore Cuinet | FRA | 1:33:58.3 |
| 16 | Sara Renner | CAN | 1:34:04.2 |
| 17 | Antonella Confortola Wyatt | ITA | 1:34:07.7 |
| 18 | Stefanie Böhler | GER | 1:34:08.7 |
| 19 | Oksana Yatskaya | KAZ | 1:34:11.0 |
| 20 | Katrin Zeller | GER | 1:34:18.1 |
| 21 | Marthe Kristoffersen | NOR | 1:34:31.5 |
| 22 | Tetiana Zavaliy | UKR | 1:34:32.3 |
| 23 | Olga Zavyalova | RUS | 1:34:46.3 |
| 24 | Kikkan Randall | USA | 1:34:59.0 |
| 25 | Sylwia Jaśkowiec | POL | 1:34:59.1 |
| 26 | Krista Lähteenmäki | FIN | 1:35:08.4 |
| 27 | Kateryna Hryhorenko | UKR | 1:35:11.4 |
| 28 | Kristina Šmigun-Vähi | EST | 1:35:27.2 |
| 29 | Paulina Maciuszek | POL | 1:36:31.7 |
| 30 | Olga Rocheva | RUS | 1:37:15.5 |
| 31 | Madoka Natsumi | JPN | 1:37:35.4 |
| 32 | Li Hongxue | CHN | 1:37:50.4 |
| 33 | Katerina Smutna | AUT | 1:37:51.3 |
| 34 | Yelena Kolomina | KAZ | 1:37:53.0 |
| 35 | Marina Matrossova | KAZ | 1:38:00.6 |
| 36 | Holly Brooks | USA | 1:38:14.5 |
| 37 | Laura Orgue | ESP | 1:38:18.3 |
| 38 | Olga Shchuchkina | RUS | 1:38:30.3 |
| 39 | Yelena Sannikova | BLR | 1:38:31.3 |
| 40 | Eva Nývltová | CZE | 1:38:40.1 |
| 41 | Iva Janeckova | CZE | 1:40:13.6 |
| 42 | Tatjana Mannima | EST | 1:40:51.3 |
| 43 | Svetlana Malakhova-Shishkina | KAZ | 1:41:01.6 |
| 44 | Lada Nesterenko | UKR | 1:41:40.1 |
| 45 | Anastasiya Dubarezova | BLR | 1:42:28.1 |
| 46 | Madeleine Williams | CAN | 1:42:33.7 |
| 47 | Monika Gyorgy | ROU | 1:44:03.5 |
| 48 | Eva Skalníková | CZE | 1:44:47.8 |
| Did not finish | |||
| Valentyna Shevchenko | UKR | ||
| Ida Ingemarsdottir | SWE | ||
| Cécile Storti | FRA | ||
| Morgan Arritola | USA | ||
| Laurence Rochat | SUI | ||
| Did not start | |||
| Sabina Valbusa | ITA | ||
| Kamila Rajdlová | CZE | ||