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1417433699
MICHAEL S DRAKE
HAYDEN, ID
NPI
1417433699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
MICHAEL S DRAKE
8317 N AINSWORTH DR
HAYDEN, ID 83835-9402
Phone number: 208-819-4967
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Mailing Address
MICHAEL S DRAKE
8317 N AINSWORTH DR
HAYDEN, ID 83835-9402
Phone number: 208-819-4967
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