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1952873374
JASON WAYNE YOUNG
MERCED, CA
NPI
1952873374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-24
Last Update Date
2018-12-24
Business Address
JASON WAYNE YOUNG RADT-1
3522 SANTIAGO CT
MERCED, CA 95348-9534
Phone number: 209-233-8989
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Mailing Address
JASON WAYNE YOUNG RADT-1
3522 SANTIAGO CT # CY
MERCED, CA 95348-9534
Phone number: 209-233-8989
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