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Individual

SUSAN E BARENDREGT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MNT

Contact information

Practice address
114 FS DR, SUITE A, VIROQUA, WI 54665-6202
(608) 637-7272
(608) 638-7000
Mailing address
114 FS DR, SUITE A, VIROQUA, WI 54665-6202
(608) 637-7272
(608) 638-7000

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
02/17/2011
Last updated
02/17/2011
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