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1952027823
VICKIE FAY DRAKE
MADISON, WI
NPI
1952027823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 7019-27)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
Ms. VICKIE FAY DRAKE COTA/L
429 S YELLOWSTONE DR
MADISON, WI 53719-1021
Phone number: 608-277-1010
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Mailing Address
Ms. VICKIE FAY DRAKE COTA/L
33 MAPLE AIRE DR
BLUE MOUNDS, WI 53517-9655
Phone number:
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