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Individual

MASON SHANE YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
645 N ARLINGTON AVE STE 555, RENO, NV 89503-4452
(775) 770-7622
Mailing address
1124 SARAH BELLE LN, FALLON, NV 89406-5861

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/13/2021
Last updated
09/26/2022
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