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1962895920
JUSTIN YOUNG
LAFAYETTE, IN
NPI
1962895920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36003184A)
Enumeration Date
2015-03-13
Last Update Date
2020-01-13
Business Address
JUSTIN YOUNG LAT, ATC
3101 NEW LONDON CT APT 510
LAFAYETTE, IN 47909-5312
Phone number: 906-360-9977
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Mailing Address
JUSTIN YOUNG LAT, ATC
3101 NEW LONDON CT APT 510
LAFAYETTE, IN 47909-5312
Phone number: 906-360-9977
Copy
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