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Individual

MR. EDWARD EUGENE YACKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN,APRN-BC (FNP)

Contact information

Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7527
(757) 314-7661
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7527
(757) 314-7661

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704174725
MI

Other

Enumeration date
11/02/2005
Last updated
06/07/2011
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