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Individual

DIANN YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3759 FAIRVIEW COVE LN APT 302, TAMPA, FL 33619-3761
(813) 239-7866
Mailing address
3759 FAIRVIEW COVE LN APT 302, TAMPA, FL 33619-3761
(813) 239-7866

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
08/17/2016
Last updated
08/17/2016
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Product
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  • EDI platform