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1699735803
ANTONETTE LUCAS
JACKSON, MS
NPI
1699735803
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Former Name
ANTONETTE SORRELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R860519)
Enumeration Date
2006-03-23
Last Update Date
2010-03-26
Business Address
Mrs. ANTONETTE LUCAS NP
136 E ASH ST
JACKSON, MS 39202-2217
Phone number: 601-352-6507
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Mailing Address
Mrs. ANTONETTE LUCAS NP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6270
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