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Individual
JOSEPH YOUNG
Active
Individual
JOSEPH YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA, CSFA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA0241
DC
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
Other
Enumeration date
11/12/2020
Last updated
06/09/2022
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