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Individual

ROSE MARIE DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1400 S LIMIT AVE, SPACE 75 STATE FAIR SHOPPING CENTER, SEDALIA, MO 65301-5116
(660) 827-3140
(660) 827-5204
Mailing address
1400 S LIMIT AVE, SEDALIA, MO 65301-5118
(660) 827-3140

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02790
MO

Other

Enumeration date
12/04/2006
Last updated
05/20/2010
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