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1366686842
STEVEN BRANDON YATES
CANNON AFB, NM
NPI
1366686842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-04-28
Last Update Date
2009-04-28
Business Address
Mr. STEVEN BRANDON YATES IDMT
208 W CASABLANCA AVE
CANNON AFB, NM 88103-5009
Phone number: 575-784-7801
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Mailing Address
Mr. STEVEN BRANDON YATES IDMT
119 E ARCADIA AVE BLDG 622 27TH SOSS/OSM
CANNON AFB, NM 88103-5112
Phone number: 575-784-0283
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