CARLY YATES

BOISE, ID
NPI1861916918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  TSLP-5463)
Enumeration Date2017-07-31
Last Update Date2022-08-30
Business Address
CARLY YATES
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 317-385-8346
Mailing Address
CARLY YATES
4667 W HIDDEN SPRINGS DR
BOISE, ID 83714-9352
Phone number: 317-385-8346
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