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Individual

LARRY DALE YOUNG II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
172 4TH ST SE, HURON, SD 57350-2510
(605) 353-6200
(605) 353-6300
Mailing address
172 4TH ST SE, HURON, SD 57350-2510
(605) 353-6565
(605) 353-6300

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209008962
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
087548
ANCC CERTIFICATION NUMBER
IL
Enumeration date
08/03/2011
Last updated
01/05/2021
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