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MR. GABRIEL DAN MOONEY R.D.
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1174840672
Individual Registrant:MR. GABRIEL DAN MOONEY R.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
600 MAIN AVE S BAUDETTE, MN 56623-2855 US
Tel: 218-634-2120 Fax: 218-634-3416
Tel: 218-634-2120 Fax: 218-634-3416
Contact information for business:
600 MAIN AVE S BAUDETTE, MN 56623-2855 US
Tel: 218-634-2120 Fax: 218-634-3416
Tel: 218-634-2120 Fax: 218-634-3416
Registration Information:
NPI: 1174840672
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | MN | 2912 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
