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Individual

JAMES YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 HUNTER LANE, CAMP HILL, PA 17011
(717) 761-2633
Mailing address
200 NEWBERRY COMMONS, ETTERS, PA 17319

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000000
NY
183500000X
Pharmacist
4444444
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1111111
CERTIFED DIABETIC COUNSELOR
NY
05
5555555
NY
Enumeration date
03/08/2010
Last updated
03/08/2010
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