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1578827341
SHANNON VICTORIA DRAKE
CORTLAND, NY
NPI
1578827341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 401477)
Enumeration Date
2012-06-27
Last Update Date
2013-09-25
Business Address
-- SHANNON VICTORIA DRAKE
10 N MAIN ST
CORTLAND, NY 13045
Phone number: 607-753-0234
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Mailing Address
-- SHANNON VICTORIA DRAKE
5776 HOWELL RD
LOCKE, NY 13092
Phone number: 607-423-9304
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