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Individual
MR. GARY ALAN YOUNGBLOOD JR.
Active
Individual
MR. GARY ALAN YOUNGBLOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002323
GA
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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