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1659893204
JESSICA LAUREN DRAKE
COLUMBIA, SC
NPI
1659893204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3011330)
Enumeration Date
2017-07-14
Last Update Date
2017-08-03
Business Address
JESSICA LAUREN DRAKE APRN
1494 LAKE MURRAY BLVD
COLUMBIA, SC 29212
Phone number: 803-764-0464
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Mailing Address
JESSICA LAUREN DRAKE APRN
1494 LAKE MURRAY BLVD
COLUMBIA, SC 29212-8697
Phone number:
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