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Individual

HEATHER YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
19977
OR
172M00000X
Mechanotherapist
33014
CA
225700000X
Massage Therapist
Primary
19977
OR
225700000X
Massage Therapist
33014
CA

Other

Enumeration date
10/16/2015
Last updated
12/22/2015
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