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Individual

JOHN STEVEN YANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4300 ROGERS AVE, STE 46, FORT SMITH, AR 72903-3152
(479) 785-0010
(479) 783-8478
Mailing address
4300 ROGERS AVE, STE 46, FORT SMITH, AR 72903-3152
(479) 785-0010
(479) 783-8478

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2324
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105893722
AR
Enumeration date
06/14/2005
Last updated
05/12/2009
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