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Individual

MRS. BRENDA SUSAN CRENSHAW I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DIETITIAN

Contact information

Practice address
50 OLD VILLAGE ROAD, COLUMBUS, OH 43228-1607
(614) 566-8994
(614) 544-1711
Mailing address
3657 CARNFORTH DRIVE, COLUMBUS, OH 43221-5265
(614) 786-6362
(614) 544-1711

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3183
OH

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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