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1013538016
TRAVIS JAMES YOUNG
FAYETTEVILLE, NC
NPI
1013538016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-30
Last Update Date
2020-05-01
Business Address
TRAVIS JAMES YOUNG DO
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-5095
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Mailing Address
TRAVIS JAMES YOUNG DO
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-5095
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