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Individual

MR. TIMOTHY EARL YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6020 N ROBINSON AVE, OKLAHOMA CITY, OK 73118-7426
(405) 767-9750
(405) 767-9759
Mailing address
6020 N ROBINSON AVE, OKLAHOMA CITY, OK 73118-7426
(405) 767-9750
(405) 767-9759

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3256
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200522069
GROUP PROVIDER NUMBER
OK
Enumeration date
12/05/2006
Last updated
07/08/2007
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