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1043446222
LISA ANN YOUNG
MOULTRIE, GA
NPI
1043446222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 88683)
Enumeration Date
2009-06-02
Last Update Date
2021-10-05
Business Address
LISA ANN YOUNG DO
1 MAGNOLIA CT
MOULTRIE, GA 31768-6764
Phone number: 229-502-9769
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Mailing Address
LISA ANN YOUNG DO
PO BOX 860 WHITERIVER IHS
WHITERIVER, AZ 85941
Phone number: 928-338-4911
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