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1083373443
LEA DRAKE
GRAND RAPIDS, MI
NPI
1083373443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704245510)
Enumeration Date
2021-12-14
Last Update Date
2021-12-14
Business Address
LEA DRAKE BSN, RN
1131 IONIA AVE NW
GRAND RAPIDS, MI 49503-1020
Phone number: 616-438-1865
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Mailing Address
LEA DRAKE BSN, RN
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-438-1865
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