Individual
CHRISTOPHER GAIL YLITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 1ST AVE N STE 150, MOORHEAD, MN 56560-0002
(218) 228-3296
Mailing address
2571 VILLA DR S, FARGO, ND 58103-3698
(218) 821-6568
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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