Individual
MR. GAVIN ZANE YOESTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
Mailing address
20000 SE 104TH ST, NEWALLA, OK 74857-8034
(405) 496-7364
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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