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1376287441
STEPHANIE IRENE DRAKE
MEMPHIS, TN
NPI
1376287441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-25
Last Update Date
2022-05-10
Business Address
STEPHANIE IRENE DRAKE DDS
875 UNION AVE SUITE C211
MEMPHIS, TN 38163-2186
Phone number: 901-448-6540
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Mailing Address
STEPHANIE IRENE DRAKE DDS
3240 124TH ST
PLEASANT PRAIRIE, WI 53158-4222
Phone number: 262-620-7280
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