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1932281102
KELLY LYNN YOUNGERMAN
GOOSE CREEK, SC
NPI
1932281102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2006-10-19
Last Update Date
2016-12-15
Business Address
MR. KELLY LYNN YOUNGERMAN IDC
110 NNPTC CIR
GOOSE CREEK, SC 29445-6314
Phone number: 843-794-6228
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Mailing Address
MR. KELLY LYNN YOUNGERMAN IDC
110 NNPTC CIR
GOOSE CREEK, SC 29445-6314
Phone number: 843-794-6152
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