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1609357128
JUDD ANDREW DRAKE
ADA, OK
NPI
1609357128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-08-23
Last Update Date
2024-04-25
Business Address
JUDD ANDREW DRAKE
1100 E 14TH ST
ADA, OK 74820-6915
Phone number: 870-235-4000
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Mailing Address
JUDD ANDREW DRAKE
1100 E 14TH ST
ADA, OK 74820-6915
Phone number:
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