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Individual
NANCY LEE YOUNG
Active
Individual
NANCY LEE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE005548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14340
BLUE CROSS/BLUE SHIELD
MO
01
—
431576505
FEDERAL TAX NUMBER
MO
Enumeration date
01/24/2006
Last updated
07/14/2010
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