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Individual
JOSH ALAN DALE
Active
Individual
JOSH ALAN DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164004815
IL
133V00000X
Registered Dietitian
Primary
2006038467
MO
Other
Enumeration date
08/31/2011
Last updated
07/13/2012
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