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Individual

MR. JOHN PATRICK YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1010 LIGGETT AVE, BUILDING # 690, TACOMA, WA 98433
(227) 325-3982
Mailing address
11418 105TH AVE SW APT H6, LAKEWOOD, WA 98498-6856
(314) 224-9810

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009011517
MO

Other

Enumeration date
04/23/2012
Last updated
08/15/2022
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