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Individual

KARI ANN DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
135 PINE TREE DR, BIGFORK, MN 56628
(218) 743-3232
Mailing address
135 PINE TREE DR, BIGFORK, MN 56628
(218) 743-3232

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10796
MN
363A00000X
Physician Assistant
1465
MN

Other

Enumeration date
08/13/2010
Last updated
06/05/2012
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