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1396288692
AUSTIN YOUNGMAN
PEORIA, IL
NPI
1396288692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164006994)
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
-- AUSTIN YOUNGMAN RD, LDN
600 NE WATER ST
PEORIA, IL 61603-4246
Phone number: 309-258-5103
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Mailing Address
-- AUSTIN YOUNGMAN RD, LDN
600 NE WATER ST
PEORIA, IL 61603-4246
Phone number:
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