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Individual

MR. MARK YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4927
(505) 727-9147
Mailing address
9805 IRBID RD NE, ALBUQUERQUE, NM 87122-3332
(505) 727-4927
(505) 727-9147

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2707
NM

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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