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1609341361
PHILLIP EDWARD DRAKE
HOOVER, AL
NPI
1609341361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: AL 4826)
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
PHILLIP EDWARD DRAKE
1908 TREE CROSSINGS PKWY
HOOVER, AL 35244-4060
Phone number: 256-651-0704
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Mailing Address
PHILLIP EDWARD DRAKE
1908 TREE CROSSINGS PKWY
HOOVER, AL 35244-4060
Phone number:
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