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Individual

CAROLYN YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3288 COYS LN, COTTONDALE, FL 32431-8724
(850) 579-4737
Mailing address
3288 COYS LN, COTTONDALE, FL 32431-8724
(850) 579-4737

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
673101596
FL
Enumeration date
01/04/2013
Last updated
01/04/2013
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