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Individual
MRS. MARY P BENNERMAN
Active
Individual
MRS. MARY P BENNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., LDN, CDE
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L000337
NC
133V00000X
Registered Dietitian
Primary
L000337
NC
Other
Enumeration date
04/17/2008
Last updated
09/18/2020
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