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1255312039
CHARLENE J YOUNG
SPRINGFIELD, IL
NPI
1255312039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209000729)
Enumeration Date
2005-11-09
Last Update Date
2007-10-16
Business Address
-- CHARLENE J YOUNG CFNP
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-8417
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Mailing Address
-- CHARLENE J YOUNG CFNP
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone number: 217-545-7578
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