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1366898025
LEMICHAL DRAKE
JACKSON, MS
NPI
1366898025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
174H00000X Health Educator
Enumeration Date
2016-05-11
Last Update Date
2019-08-27
Business Address
MR. LEMICHAL DRAKE CCRP
5773 OLD CANTON RD
JACKSON, MS 39211-3202
Phone number: 601-994-4647
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Mailing Address
MR. LEMICHAL DRAKE CCRP
5773 OLD CANTON RD
JACKSON, MS 39211-3202
Phone number: 601-994-4647
Copy
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