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1003171182
KIMBERLY NICOLE POWELL
JACKSON, MS
NPI
1003171182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-07-05
Last Update Date
2012-07-05
Business Address
Dr. KIMBERLY NICOLE POWELL D.D.S.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6028
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Mailing Address
Dr. KIMBERLY NICOLE POWELL D.D.S.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6028
Copy
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