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1043053630
LEXY SHANTEL POWELL
DES MOINES, IA
NPI
1043053630
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Former Name
LEXY SHANTEL WADSWORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IA R-13219)
Enumeration Date
2024-06-13
Last Update Date
2024-06-16
Business Address
LEXY SHANTEL POWELL DO
1200 PLEASANT ST
DES MOINES, IA 50309-1406
Phone number: 515-241-6636
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Mailing Address
LEXY SHANTEL POWELL DO
1200 PLEASANT ST
DES MOINES, IA 50309-1406
Phone number:
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