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1790567378
ANTONIO LAKENDRICK CORTEZ MCBETH
JACKSON, MS
NPI
1790567378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS 910807)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
Mr. ANTONIO LAKENDRICK CORTEZ MCBETH RN
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1000
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Mailing Address
Mr. ANTONIO LAKENDRICK CORTEZ MCBETH RN
577 STORM STORM RD.
LENA, MS 39094
Phone number:
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