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Organization
WILLIAM P.J. YETMAN CRNA, PA
Active
Organization
WILLIAM P.J. YETMAN CRNA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PJ YETMAN ARNP (OWNER)
(772) 335-7005
Entity
Organization
Contact information
Practice address
1715 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7520
(772) 335-7005
Mailing address
PO BOX 8178, PORT SAINT LUCIE, FL 34985-8178
(772) 335-7005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1452632
FL
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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