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Individual
MRS. AMANDA F YOUNG
Active
Individual
MRS. AMANDA F YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
002084700
FL
171W00000X
Contractor
Primary
686761896
FL
171W00000X
Contractor
686761898
FL
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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