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MR. GABRIEL DAN MOONEY R.D.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1174840672

Individual Registrant:
MR. GABRIEL DAN MOONEY R.D.
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

Contact information for business:
600 MAIN AVE S  BAUDETTE, MN 56623-2855 US
Tel: 218-634-2120  Fax: 218-634-3416

Registration Information:
NPI: 1174840672
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
MN2912

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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