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1386909166
JOEY D YATES
DECATUR, IL
NPI
1386909166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.003333)
Enumeration Date
2012-07-09
Last Update Date
2012-07-09
Business Address
Mr. JOEY D YATES COTA/L
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-2600
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Mailing Address
Mr. JOEY D YATES COTA/L
609 VIRGINIA AVE
TAYLORVILLE, IL 62568-1348
Phone number: 217-287-2062
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