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Individual
YVONNE SCOTT CALLISON
Active
Individual
YVONNE SCOTT CALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002416101
—
NV
Enumeration date
09/28/2006
Last updated
10/03/2024
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