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Individual

MR. WESLEY YOUNG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1707 E CITATION LN, TEMPE, AZ 85284-1606
(480) 999-0293
(833) 286-8210
Mailing address
1707 E CITATION LN, TEMPE, AZ 85284-1606
(480) 999-0293
(833) 286-8210

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
AZ
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
92-1343226
AZ
Enumeration date
12/16/2022
Last updated
04/24/2023
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