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1194347997
CESELLY LAYNE YATES
CRESTVIEW, FL
NPI
1194347997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL APRN11006628)
Enumeration Date
2020-05-14
Last Update Date
2020-05-14
Business Address
CESELLY LAYNE YATES
129 E REDSTONE AVE STE A
CRESTVIEW, FL 32539-5350
Phone number: 850-419-2187
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Mailing Address
CESELLY LAYNE YATES
664 PITTMAN ROAD
DEFUNIAK SPRINGS, FL 32533
Phone number: 850-419-2187
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