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1215686001
CHARLES YOUNG
SAN ANTONIO, TX
NPI
1215686001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3628)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
CHARLES YOUNG LAT
5406 MAPLE VIS
SAN ANTONIO, TX 78247-4603
Phone number: 210-607-0305
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Mailing Address
CHARLES YOUNG LAT
5406 MAPLE VIS
SAN ANTONIO, TX 78247-4603
Phone number: 210-607-0305
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