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1881319598
KRISTINE DRAKE
PHOENIX, AZ
NPI
1881319598
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Former Name
KRISTINE GALLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 9332)
Enumeration Date
2022-10-05
Last Update Date
2022-10-20
Business Address
KRISTINE DRAKE PA-C
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
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Mailing Address
KRISTINE DRAKE PA-C
9124 W ROMA AVE
PHOENIX, AZ 85037-0814
Phone number: 586-907-7151
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