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1447089842
DATIA LEVON DRAKE
COVINGTON, LA
NPI
1447089842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 236145)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
Ms. DATIA LEVON DRAKE FNP
648 CRESTWOOD BLVD
COVINGTON, LA 70433-8261
Phone number: 985-805-2555
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Mailing Address
Ms. DATIA LEVON DRAKE FNP
42317 SEPTEMBER RAIN DR
HAMMOND, LA 70403-2115
Phone number: 985-634-2877
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