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Sharon Ann Young

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NPI Number Detailed Information

Provider Information:

Name: Sharon Ann Young
Gender: F
Provider License Number If Given: PA16374

NPI Information:

NPI: 1598768517
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/20/2007

Provider Business Mailing Address:

Address: 4226 Y ST
Sacramento, CA 95817
Phone Number: 9164545614
Fax Number: 7603486032

Provider Business Practice Location Address:

Address: 7018 BLAIR RD
Calipatria, CA 92233
Phone Number: 7603487000
Fax Number: 7603486032

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any):
State: CA

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