Individual
DEBORAH KAY YACKUBOSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, MSN
Contact information
Practice address
645 KOLTER DR, INDIANA, PA 15701-3570
(724) 349-1111
Mailing address
645 KOLTER DR, INDIANA, PA 15701-3570
(724) 349-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP005972W
PA
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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