KELLY LYNN YOUNGERMAN

GOOSE CREEK, SC
NPI1932281102
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-10-19
Last Update Date2016-12-15
Business Address
Mr. KELLY LYNN YOUNGERMAN IDC
110 NNPTC CIR
GOOSE CREEK, SC 29445-6314
Phone number: 843-794-6228
Mailing Address
Mr. KELLY LYNN YOUNGERMAN IDC
110 NNPTC CIR
GOOSE CREEK, SC 29445-6314
Phone number: 843-794-6152
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