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1912544081
DERYKAH YATES
VALDOSTA, GA
NPI
1912544081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-12-07
Last Update Date
2019-12-07
Business Address
DERYKAH YATES
4318 BRANDONSHIRE LN
VALDOSTA, GA 31605-7010
Phone number: 229-854-8371
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Mailing Address
DERYKAH YATES
4318 BRANDONSHIRE LN
VALDOSTA, GA 31605-7010
Phone number: 229-854-8371
Copy
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