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Individual

JOSEPH YOLLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
1941 F AVE APT 1, NATIONAL CITY, CA 91950-5753
(347) 928-3573
Mailing address
PSC 455 BOX 191, FPO, AP 96540-0002
(619) 274-4878

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
03/03/2016
Last updated
04/18/2016
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