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Individual

MRS. RUTH ELLEN YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
RR 1 BOX 146, SHINGLEHOUSE, PA 16748-9707
(814) 697-7188
(716) 353-4796
Mailing address
RR 1 BOX 146, SHINGLEHOUSE, PA 16748-9707
(814) 697-7188
(716) 353-4796

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
219906-1
NY

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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