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1043713340
JAY ELDON POWELL
AUSTIN, TX
NPI
1043713340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 3034444)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
JAY ELDON POWELL
13915 BURNET RD STE 303
AUSTIN, TX 78728-6505
Phone number: 512-996-9559
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Mailing Address
JAY ELDON POWELL
116 CROCKETT ST
MC GREGOR, TX 76657-1010
Phone number: 254-462-4642
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