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1013149780
TAMMY SUE YATES
JOHNSTON CITY, IL
NPI
1013149780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043082932)
Enumeration Date
2009-08-14
Last Update Date
2009-08-14
Business Address
-- TAMMY SUE YATES LPN
14410 ROUTE 37
JOHNSTON CITY, IL 62951-3166
Phone number: 618-937-6409
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Mailing Address
-- TAMMY SUE YATES LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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