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Individual

MADELINE GRACE BLASINGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD

Contact information

Practice address
9295 HAVENRIDGE LOOP, TUSCALOOSA, AL 35405-0137
(256) 770-2158
Mailing address
9295 HAVENRIDGE LOOP, TUSCALOOSA, AL 35405-0137
(256) 770-2158

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
AL

Other

Enumeration date
02/19/2025
Last updated
04/06/2026
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