GAVAN W YATES

SOUTH BOSTON, VA
NPI1700451655
Other NameGAVAN WILLIAM YATES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110008467)
Enumeration Date2021-05-24
Last Update Date2022-07-22
Business Address
GAVAN W YATES PA
2232 WILBORN AVE STE C
SOUTH BOSTON, VA 24592-1662
Phone number: 434-517-3910
Mailing Address
GAVAN W YATES PA
2232 WILBORN AVE STE C
SOUTH BOSTON, VA 24592-1662
Phone number: 434-517-3910
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