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1053092932
JAKE JOHN CARREON CORTES
BALTIMORE, MD
NPI
1053092932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MD LP54186)
Enumeration Date
2023-07-25
Last Update Date
2023-07-25
Business Address
JAKE JOHN CARREON CORTES
821 N EUTAW ST
BALTIMORE, MD 21201-4648
Phone number: 410-225-9185
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Mailing Address
JAKE JOHN CARREON CORTES
821 N EUTAW ST
BALTIMORE, MD 21201-4648
Phone number: 410-225-9185
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