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Individual

DONNA C DRAKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 ANDREW AVE, FORT RUCKER, AL 36362
(334) 255-7826
Mailing address
56 SHERIDAN ST, FORT RUCKER, AL 36362-2140
(334) 709-4087

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2-058749
AL

Other

Enumeration date
03/04/2008
Last updated
03/04/2008
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