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1386214484
KIMBERLY DRAKE
SHAW, MS
NPI
1386214484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Additional Taxonomies
251S00000X
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
Mrs. KIMBERLY DRAKE
500 CAANAN STREET
SHAW, MS 38773
Phone number: 662-719-8467
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Mailing Address
Mrs. KIMBERLY DRAKE
P.O. BOX 516
SHAW, MS 38773
Phone number: 662-719-8467
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