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Individual
REED L YEATER
Active
Individual
REED L YEATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
036-057039
IL
208D00000X
General Practice Physician
Primary
11272
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057039
—
IL
Enumeration date
10/19/2006
Last updated
11/29/2010
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