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Individual
MRS. JANICE DELOISE DRAKE
Active
Individual
MRS. JANICE DELOISE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN LICENSED NURSE
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2268611
NY
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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