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1780074591
KENNETH DRAKE
SAN LUIS OBISPO, CA
NPI
1780074591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CO 0002004)
Enumeration Date
2015-02-01
Last Update Date
2018-03-17
Business Address
KENNETH DRAKE
1124 NIPOMO ST STE C
SAN LUIS OBISPO, CA 93401-3883
Phone number: 805-202-1492
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Mailing Address
KENNETH DRAKE
563 BAKEMAN LN
ARROYO GRANDE, CA 93420-3752
Phone number: 805-710-9184
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