Individual
MR. GABRIEL DAN MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-2120
(218) 634-3416
Mailing address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-2120
(218) 634-3416
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2912
MN
Other
Enumeration date
04/23/2010
Last updated
04/26/2010
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