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1245764745
JOHNNIE DRAKE
VERO BEACH, FL
NPI
1245764745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-04-12
Last Update Date
2017-04-12
Business Address
-- JOHNNIE DRAKE
355 9TH PL
VERO BEACH, FL 32960-6819
Phone number: 772-770-0077
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Mailing Address
-- JOHNNIE DRAKE
1001 HICKORY STREET
FORT PIERCE, FL 34947
Phone number: 772-332-5397
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