Individual
MR. JAMES EDGAR YOUNG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA PSRS
Contact information
Practice address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 457-4999
Mailing address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 457-4999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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