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1265431589
JOHN E DRAKE
FORT WAYNE, IN
NPI
1265431589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 02001845A)
Enumeration Date
2005-07-19
Last Update Date
2020-01-21
Business Address
JOHN E DRAKE D.O.
11123 PARKVIEW PLAZA DR SUITE 101
FORT WAYNE, IN 46845-1707
Phone number: 260-422-7455
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Mailing Address
JOHN E DRAKE D.O.
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number: 260-266-8210
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