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Individual
MR. JOHN WALLACE YOUNG JR.
Active
Individual
MR. JOHN WALLACE YOUNG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00326
TX
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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