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1235366014
CALEB ANTHONY YOUNGBLOOD
BERKLEY, MI
NPI
1235366014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601006038)
Enumeration Date
2009-06-18
Last Update Date
2015-02-24
Business Address
Mr. CALEB ANTHONY YOUNGBLOOD MMS, PA-C
1964 W 11 MILE RD
BERKLEY, MI 48072-3046
Phone number: 248-544-9300
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Mailing Address
Mr. CALEB ANTHONY YOUNGBLOOD MMS, PA-C
1964 W 11 MILE RD
BERKLEY, MI 48072-3046
Phone number: 248-544-9300
Copy
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