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1841220464
WESLEY JACK DRAKE
LOVELAND, CO
NPI
1841220464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 987)
Enumeration Date
2006-07-03
Last Update Date
2007-09-24
Business Address
-- WESLEY JACK DRAKE pa-c
295 E 29TH ST
LOVELAND, CO 80538-2743
Phone number: 970-669-6000
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Mailing Address
-- WESLEY JACK DRAKE pa-c
295 E 29TH ST
LOVELAND, CO 80538-2743
Phone number: 970-669-6000
Copy
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