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1033219027
MITCHEL J YOUNGBLOOD
ROSEVILLE, CA
NPI
1033219027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G45922)
Enumeration Date
2006-09-22
Last Update Date
2007-07-17
Business Address
-- MITCHEL J YOUNGBLOOD MD
1001 RIVERSIDE AVE
ROSEVILLE, CA 95678-5134
Phone number: 916-814-5200
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Mailing Address
-- MITCHEL J YOUNGBLOOD MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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