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1962881037
RODERICK ALEXANDER YOUNG
JACKSON, MS
NPI
1962881037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0645)
Enumeration Date
2015-05-22
Last Update Date
2016-06-07
Business Address
Mr. RODERICK ALEXANDER YOUNG A.T.C L.A.T.
547 HEATHERWOOD DR
JACKSON, MS 39212-4707
Phone number: 601-502-1815
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Mailing Address
Mr. RODERICK ALEXANDER YOUNG A.T.C L.A.T.
547 HEATHERWOOD DR
JACKSON, MS 39212-4707
Phone number: 601-502-1815
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