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1518903426
LISA DANIELLE DRAKE
COLUMBIA, SC
NPI
1518903426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1018)
Enumeration Date
2006-06-20
Last Update Date
2007-07-08
Business Address
-- LISA DANIELLE DRAKE OD
1600 TAYLOR STREET
COLUMBIA, SC 29201
Phone number: 803-779-7783
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Mailing Address
-- LISA DANIELLE DRAKE OD
PO BOX 5721 ATTN ADMINISTRATOR
COLUMBIA, SC 29250
Phone number: 803-779-2273
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