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1346203791
COREY J YATES
SALEM, OR
NPI
1346203791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT AT 621435)
Enumeration Date
2006-04-07
Last Update Date
2007-07-08
Business Address
-- COREY J YATES ATC
685 36TH AVE NE
SALEM, OR 97301-4741
Phone number: 503-371-8860
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Mailing Address
-- COREY J YATES ATC
3736 SARAMAE LN NE
KEIZER, OR 97303-4054
Phone number: 503-371-8860
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