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Individual

MICHAEL JAMES YOUNG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
NAVY IDC

Contact information

Practice address
5720 INTEGRITY DR, MILLINGTON, TN 38054-5028
(901) 874-3797
Mailing address
5967 DAYBREAK DR, BARTLETT, TN 38135-5134
(901) 874-3797

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
05/25/2006
Last updated
07/08/2007
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