Individual
MRS. CAROL SUE YOUNGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13440 SW 19TH PL, OCALA, FL 34481-4006
(352) 854-9826
(352) 629-2359
Mailing address
13440 SW 19TH PL, OCALA, FL 34481-4006
(352) 854-9826
(352) 629-2359
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
JB120516
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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