CHARLEY YOUNG

QUINCY, IL
NPI1700284759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003691)
Enumeration Date2014-12-08
Last Update Date2014-12-08
Business Address
-- CHARLEY YOUNG MS,ATC
1118 STATE ST APT H
QUINCY, IL 62301-4900
Phone number: 701-261-0822
Mailing Address
-- CHARLEY YOUNG MS,ATC
1118 STATE ST APT H
QUINCY, IL 62301-4900
Phone number:
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