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Individual
YOUNG M NA
Active
Individual
YOUNG M NA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC6129
ACUPUNCTURE
CA
Enumeration date
12/01/2009
Last updated
12/01/2009
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