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1912409624
JACOB MCKENZIE
HUNTINGTON, WV
NPI
1912409624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV APRN79908CRNA)
Enumeration Date
2018-03-08
Last Update Date
2018-07-04
Business Address
JACOB MCKENZIE
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Phone number: 304-638-9517
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Mailing Address
JACOB MCKENZIE
2725 ROUTE 75
KENOVA, WV 25530-9793
Phone number: 304-638-9517
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