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Individual

DEREK YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5587 ORCHARD CV, MINNETRISTA, MN 55364-1292
(952) 652-3959
Mailing address
5587 ORCHARD CV, MINNETRISTA, MN 55364-1292
(952) 652-3959

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
390826
MN

Other

Enumeration date
08/30/2019
Last updated
11/27/2023
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