MRS. Mary J Young

NPI #1194817452 in Jonesboro, Arkansas

Provider Information

NPI Number: 1194817452
Entity Type: Individual
Name: MRS. Mary J Young
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 28, 2006
Last Updated: Nov 21, 2007

Practice Location

Address: 2213 EAST HIGHLAND DRIVE
City: Jonesboro
State: Arkansas
ZIP Code: 72401
Phone: (870) 268-1777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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