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Individual

ANNIE MICHELLE YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1435 VILLAGE DRIVE DEPT 2805, OGDEN, UT 84408
(801) 626-7656
Mailing address
1435 VILLAGE DR DEPT 2805, OGDEN, UT 84408-5150

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
01/11/2018
Last updated
01/11/2018
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