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1003934290
TOM A DRAKE
AUBURN, CA
NPI
1003934290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 18944)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- TOM A DRAKE
11512 B AVE
AUBURN, CA 95603-2605
Phone number: 530-889-7240
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Mailing Address
-- TOM A DRAKE
PO BOX 4271
AUBURN, CA 95604-4271
Phone number:
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