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NPI Profile for ROBERT DRAKE in NORTH CHARLESTON, SC.
Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Darkroom Technician |
2472D0500X | 75 | Slide Preparation Facility |
| NPI Number | 1104364652 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/04/2017 | |
| Last updated | 02/04/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ROBERT DRAKE
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ROBERT DRAKE