Individual
MR. GORDON CHARLES YANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1546 W SPARROW RD, SPRINGFIELD, OH 45502-8757
(937) 324-1252
Mailing address
1546 W SPARROW RD, SPRINGFIELD, OH 45502-8757
(937) 324-1252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN116001
OH
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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