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1114138013
DENISE KIM DRAKE
AUGUSTA, GA
NPI
1114138013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN185715)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
-- DENISE KIM DRAKE N.P.
3624 J DEWEY GRAY CIR STE 110
AUGUSTA, GA 30909-6585
Phone number: 706-651-2667
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Mailing Address
-- DENISE KIM DRAKE N.P.
172 WOOD TRACE DR
WARRENVILLE, SC 28951
Phone number: 803-663-4858
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