AUSTIN DRAKE

MADISON, MS
NPI1497396428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0948)
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
AUSTIN DRAKE LAT, ATC
201 PLANTERS CV
MADISON, MS 39110-7988
Phone number: 601-613-0965
Mailing Address
AUSTIN DRAKE LAT, ATC
2015 HIGHPOINTE DR
BRANDON, MS 39042-3169
Phone number:
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