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Individual

MR. WAYNE F YAKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24847
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01248475
CO
Enumeration date
08/23/2006
Last updated
03/28/2012
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