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Individual

MS. AMY LYNN YOUNGBLOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 423-3020
Mailing address
18 RACHEL DR APT 14, JACKSON, TN 38305-8620
(731) 445-5304

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
893651
TN

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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