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Individual

KAY YAMAOKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
75 REMIT DR # 1248, CHICAGO, IL 60675-1248
(866) 916-5259
(231) 922-4030
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
(607) 274-4527

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015213
NY

Other

Enumeration date
10/12/2011
Last updated
10/12/2011
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