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Individual

MR. JAMES A YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
25053 COUNTRY STREET 2540, FORT COBB, OK 73038
(405) 439-1589
Mailing address
PO BOX 62, FORT COBB, OK 73038-0062
(405) 439-1589

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/20/2019
Last updated
08/20/2019
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