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1730575028
JIMMY L YOUNG
SAN DIEGO, CA
NPI
1730575028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2015-04-13
Last Update Date
2015-04-13
Business Address
Mr. JIMMY L YOUNG IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-532-9712
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Mailing Address
Mr. JIMMY L YOUNG IDC
2248 BROOKWOOD CT
SAN DIEGO, CA 92134-7000
Phone number: 216-288-3834
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