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Individual

DR. KATIE M DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
4105 HUMBERT RD, ALTON, IL 62002
(618) 463-1600
(618) 463-1624
Mailing address
4105 HUMBERT RD, ALTON, IL 62002
(618) 463-1600
(618) 463-1624

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.012111
IL
111N00000X
Chiropractor
Primary
038012111
IL

Other

Enumeration date
01/25/2012
Last updated
08/13/2013
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