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1790240596
MINAGRACE DRAKE
CAMPBELL, CA
NPI
1790240596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT107623)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
MINAGRACE DRAKE
2155 S BASCOM AVE STE 110
CAMPBELL, CA 95008-3200
Phone number: 408-872-8128
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Mailing Address
MINAGRACE DRAKE
1278 BOURET DR UNIT 3
SAN JOSE, CA 95118-2616
Phone number: 408-836-1620
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