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1922644137
GREGORY L YOUNG
SPRINGFIELD, IL
NPI
1922644137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
GREGORY L YOUNG AS-C
800 N 1ST ST
SPRINGFIELD, IL 62702-3719
Phone number: 217-528-7541
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Mailing Address
GREGORY L YOUNG AS-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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