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1407159361
SHANNAN E BERGTHOLDT
SPRINGFIELD, VA
NPI
1407159361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2010-12-15
Last Update Date
2021-01-27
Business Address
SHANNAN E BERGTHOLDT MS Ed, R.D.
8116 ASHTONBIRCH DR
SPRINGFIELD, VA 22152-3021
Phone number: 757-288-5727
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Mailing Address
SHANNAN E BERGTHOLDT MS Ed, R.D.
8116 ASHTONBIRCH DR
SPRINGFIELD, VA 22152-3021
Phone number: 757-288-5727
Copy
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