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Individual

ALBERTA M SCRUGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.D. / R.D.

Contact information

Practice address
4415 DAYTON LIBERTY RD, DAYTON, OH 45417-5903
(937) 268-6741
(937) 268-6804
Mailing address
331 KENWOOD AVE, DAYTON, OH 45405-4013
(937) 367-1291

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L6525
OH
174H00000X
Health Educator
F78220
OH

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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