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1497877005
ERIC MICHAEL DRAKE
EDINA, MN
NPI
1497877005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 1921)
Enumeration Date
2007-04-04
Last Update Date
2011-12-29
Business Address
Mr. ERIC MICHAEL DRAKE ATC
8100 W 78TH ST
EDINA, MN 55439-2516
Phone number: 952-946-9777
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Mailing Address
Mr. ERIC MICHAEL DRAKE ATC
9734 SAINT ANDREWS DR
ELKO, MN 55020-9630
Phone number: 651-357-5117
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