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Date: 23 August 2004
| Rank | Name | Nation | Time |
| 1 | Athanasia Tsoumeleka | GRE | 1:29:12 |
| 2 | Olimpiada Ivanova | RUS | 1:29:16 |
| 3 | Jane Saville | AUS | 1:29:25 |
| 4 | Rita Turova | BLR | 1:29:39 |
| 5 | Melanie Seeger | GER | 1:29:52 |
| 6 | Elisa Rigaudo | ITA | 1:29:57 |
| 7 | Maria Vasco | ESP | 1:30:06 |
| 8 | Wang Liping | CHN | 1:30:16 |
| 9 | Yelena Ginko | BLR | 1:30:22 |
| 10 | Athina Papagianni | GRE | 1:30:37 |
| 11 | Rossella Giordano | ITA | 1:30:39 |
| 12 | Kjersti Platzer | NOR | 1:30:49 |
| 13 | Yuliya Voyevodina | RUS | 1:31:02 |
| 14 | Song Hongjuan | CHN | 1:31:27 |
| 15 | Valentina Tsybulskaya | BLR | 1:31:49 |
| 16 | Sabine Zimmer | GER | 1:31:59 |
| 17 | Yelena Nikolayeva | RUS | 1:32:16 |
| 18 | Elisabetta Perrone | ITA | 1:32:21 |
| 19 | Kristina Saltanovic | LTU | 1:32:22 |
| 20 | Susana Feitor | POR | 1:32:47 |
| 21 | Sylwia Korzeniowska | POL | 1:33:06 |
| 22 | Zuzana Malikova | SVK | 1:33:17 |
| 23 | Sonata Milusauskaite | LTU | 1:33:36 |
| 24 | Barbora Dibelkova | CZE | 1:33:37 |
| 25 | Ines Henriques | POR | 1:33:53 |
| 26 | Maribel Goncalves | POR | 1:33:59 |
| 27 | Norica Cimpean | ROU | 1:34:30 |
| 28 | Svetlana Tolstaya | KAZ | 1:34:43 |
| 29 | Ana Maria Groza | ROU | 1:34:56 |
| 30 | Rocio Florido | ESP | 1:35:32 |
| 31 | Hristina Kokotou | GRE | 1:35:43 |
| 32 | Jiang Jing | CHN | 1:35:56 |
| 33 | Yeliz Ay | TUR | 1:36:02 |
| 34 | Victoria Palacios | MEX | 1:36:07 |
| 35 | Yu Fang Yuan | MAS | 1:36:34 |
| 36 | Natalie Saville | AUS | 1:36:54 |
| 37 | Daniela Cirlan | ROU | 1:37:14 |
| 38 | Cheryl Webb | AUS | 1:37:40 |
| 39 | Marie Polli | SUI | 1:37:53 |
| 40 | Mayumi Kawasaki | JPN | 1:37:56 |
| 41 | Geovana Irusta | BOL | 1:38:36 |
| 42 | Vira Zozulya | UKR | 1:38:45 |
| 43 | Teresa Vaill | USA | 1:38:47 |
| 44 | Edina Fusti | HUN | 1:39:45 |
| 45 | Anita Liepina | LAT | 1:39:54 |
| 46 | Sandra Zapata | COL | 1:42:22 |
| 47 | Nicolene Cronje | RSA | 1:42:37 |
| 48 | Alessandra Picagevicz | BRA | 1:46:21 |
| 49 | Teresita Collado | GUA | 1:46:41 |
| 50 | Yelena Kuznetsova | KAZ | 1:49:08 |
| 51 | Yolene Raffin | MRI | 1:49:28 |
| 52 | Fumilay Fonseca | STP | 2:04:54 |
| Did not finish | |||
| Olive Loughnane | IRL | ||
| Maria del Rosario Sanchez | MEX | ||
| Nevena Mineva | BUL | ||
| Disqualified | |||
| Maria Teresa Gargallo | ESP | ||
| Kim Mi Jeong | KOR | ||