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1811091945
BONITA J DRAKE
ST PETERSBURG, FL
NPI
1811091945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: FL 15815)
Enumeration Date
2006-09-11
Last Update Date
2007-07-08
Business Address
BONITA J DRAKE MD
3950 3RD ST N
ST PETERSBURG, FL 33703-6123
Phone number: 727-821-0612
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Mailing Address
BONITA J DRAKE MD
3950 3RD ST N
ST PETERSBURG, FL 33703-6123
Phone number: 727-821-0612
Copy
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