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1750674149
TAMMY LOU YAZEVAC
BRIDGEPORT, WV
NPI
1750674149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 273)
Enumeration Date
2011-05-18
Last Update Date
2015-07-10
Business Address
Miss TAMMY LOU YAZEVAC PA
1370 JOHNSON AVE
BRIDGEPORT, WV 26330-1492
Phone number: 304-842-7186
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Mailing Address
Miss TAMMY LOU YAZEVAC PA
900 FAIRMONT RD
MORGANTOWN, WV 26501-3847
Phone number: 304-598-2233
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