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Individual
JACOB YOUNG
Active
Individual
JACOB YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038012612
IL
111N00000X
Chiropractor
Primary
072778
IA
Other
Enumeration date
06/16/2014
Last updated
02/03/2015
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