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1801288444
TIMOTHY YATES
CHARLESTON, WV
NPI
1801288444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV 1117)
Enumeration Date
2015-02-18
Last Update Date
2015-02-18
Business Address
-- TIMOTHY YATES MS, ATC
5528 MACCORKLE AVE SE
CHARLESTON, WV 25304-2320
Phone number: 304-720-5433
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Mailing Address
-- TIMOTHY YATES MS, ATC
80 2ND ST
POCA, WV 25159-7208
Phone number: 304-546-9231
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