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1255521902
KELLY JEAN DRAKE
GRAYLING, MI
NPI
1255521902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004442)
Enumeration Date
2007-07-30
Last Update Date
2017-06-06
Business Address
-- KELLY JEAN DRAKE O.D.
110 E MICHIGAN AVE
GRAYLING, MI 49738-1741
Phone number: 989-348-2833
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Mailing Address
-- KELLY JEAN DRAKE O.D.
1299 SILERY RD
INDIAN RIVER, MI 49749-9513
Phone number: 989-513-1968
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