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Individual
MR. ROBERT DEAN YAKOS
Active
Individual
MR. ROBERT DEAN YAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102658
NC
363A00000X
Physician Assistant
84047
NC
363AS0400X
Surgical Physician Assistant
84047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84047
NC LICENSE
NC
Enumeration date
03/22/2006
Last updated
10/29/2020
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