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1225714835
TIMOTHY C DRAKE
LEAGUE CITY, TX
NPI
1225714835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
TIMOTHY C DRAKE
6455 S SHORE BLVD
LEAGUE CITY, TX 77573-5523
Phone number: 832-932-9364
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Mailing Address
TIMOTHY C DRAKE
6455 S SHORE BLVD
LEAGUE CITY, TX 77573-5523
Phone number: 832-932-9364
Copy
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