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Individual
LAURA YOUNG
Active
Individual
LAURA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003636
OH
2255A2300X
Athletic Trainer
005229
PA
2255A2300X
Athletic Trainer
2601000882
MI
2255A2300X
Athletic Trainer
Primary
AT002622
GA
246ZX2200X
Orthopedic Assistant
13-1108
—
Other
Enumeration date
03/03/2014
Last updated
10/12/2016
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