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Individual

JORDYN AUDREY DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
559 VINCENT ST SPC BASE, PETERSON AFB, CO 80914-1541
(719) 567-5536
Mailing address
559 VINCENT ST SPC BASE, PETERSON AFB, CO 80914-1541
(719) 567-5536

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036171403
IL
207Q00000X
Family Medicine Physician
Primary
125077767
IL

Other

Enumeration date
07/15/2021
Last updated
10/14/2025
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