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1124135967
FRED DUANE DRAKE
TERRE HAUTE, IN
NPI
1124135967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IN 01024937A)
Enumeration Date
2006-08-25
Last Update Date
2013-03-14
Business Address
-- FRED DUANE DRAKE M.D.
1429 N 6TH ST
TERRE HAUTE, IN 47807-1037
Phone number: 812-242-3170
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Mailing Address
-- FRED DUANE DRAKE M.D.
221 S 6TH ST
TERRE HAUTE, IN 47807-4214
Phone number: 812-242-3170
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