GARY ALAN YATES

PONCA CITY, OK
NPI1225335672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  766)
Enumeration Date2011-02-22
Last Update Date2011-02-22
Business Address
-- GARY ALAN YATES ladc
201 E CHESTNUT AVE
PONCA CITY, OK 74601-4311
Phone number: 580-763-0931
Mailing Address
-- GARY ALAN YATES ladc
1628 DONAHOE DR
PONCA CITY, OK 74601-2919
Phone number: 580-716-9284
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