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Individual

MR. HAVEN ALLAN YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LP

Contact information

Practice address
1331 S FLORES ST, 308, SAN ANTONIO, TX 78204-1655
(210) 247-7246
Mailing address
1331 S FLORES ST, 308, SAN ANTONIO, TX 78204-1655
(210) 247-7246

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF0246
TX

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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