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1003631904
MAKEDA TIYE YOUNG
CONCORD, NC
NPI
1003631904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: NC 001014623)
Enumeration Date
2024-11-18
Last Update Date
2024-11-21
Business Address
MAKEDA TIYE YOUNG PA-C
200 MEDICAL PARK DR STE 430
CONCORD, NC 28025-0939
Phone number: 704-403-7070
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Mailing Address
MAKEDA TIYE YOUNG PA-C
7348 OAKWOOD LN
CHARLOTTE, NC 28215-3622
Phone number: 910-977-0381
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