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1912236118
RANDALL GLENN YATES
LAKE MARY, FL
NPI
1912236118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL OT12547)
Enumeration Date
2009-12-17
Last Update Date
2009-12-17
Business Address
Mr. RANDALL GLENN YATES OTR/L
290 WAYMONT CT SUITE 100
LAKE MARY, FL 32746-6748
Phone number: 407-833-2729
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Mailing Address
Mr. RANDALL GLENN YATES OTR/L
290 WAYMONT CT SUITE 100
LAKE MARY, FL 32746-6748
Phone number: 407-833-2729
Copy
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