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Christopher Yacullo
Medical Physician Assistant in Dupont, Washington
NPI 1154744316

Christopher Yacullo is a Medical Physician Assistant based in Dupont, WA and is specialized in Medical. Christopher Yacullo practices in Dupont, WA. The NPI Number for Christopher Yacullo is 1154744316 and holds a License No. 1115710 (Washington).

The current practice location address for Christopher Yacullo is 1905 Garry Oaks Ave Unit B, Dupont, WA and can be reached out via phone at 614-439-9623.

Location: 1905 Garry Oaks Ave Unit B, Dupont, WA, 98327-6708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154744316
Provider Name
Christopher Yacullo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1905 Garry Oaks Ave Unit B, Dupont, WA, 98327-6708
Phone Number
614-439-9623
Fax Number
Provider Enumeration Date
01/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1905 Garry Oaks Ave Unit B
City
Dupont
State
Washington
Zip
98327-6708
Phone Number
614-439-9623
Fax Number
person
Provider Business Mailing Address Details
Address
1905 Garry Oaks Ave Unit B
City
Dupont
State
Washington
Zip
98327-6708
Phone Number
614-439-9623
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1115710 ()
Definition
Definition to come...
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