Provider Demographics
NPI:1760673693
Name:YANO, VICTOR MINORU (MD MEDICAL DOCTOR)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:MINORU
Last Name:YANO
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Gender:M
Credentials:MD MEDICAL DOCTOR
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Mailing Address - Street 1:PO BOX 822
Mailing Address - Street 2:822 ERNGUUL ROAD
Mailing Address - City:KOROR
Mailing Address - State:
Mailing Address - Zip Code:
Mailing Address - Country:PW
Mailing Address - Phone:680-488-2687
Mailing Address - Fax:680-488-1087
Practice Address - Street 1:822 ERNGUUL ROAD
Practice Address - Street 2:
Practice Address - City:KOROR
Practice Address - State:
Practice Address - Zip Code:
Practice Address - Country:PW
Practice Address - Phone:680-488-2687
Practice Address - Fax:680-488-1087
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PW146208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice