Individual
JORDAN AUSTIN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 WINDING CREEK DR, MAUMEE, OH 43537-1034
(419) 376-2108
Mailing address
2424 WINDING CREEK DR, MAUMEE, OH 43537-1034
(419) 376-2108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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