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1053491845
MARY E POWELL ST LOUIS
MIDDLETOWN, CT
NPI
1053491845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CT 036668)
Enumeration Date
2006-10-16
Last Update Date
2010-01-11
Business Address
Dr. MARY E POWELL ST LOUIS MD
512 SAYBROOK RD SUITE 100
MIDDLETOWN, CT 06457-4788
Phone number: 860-347-7636
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Mailing Address
Dr. MARY E POWELL ST LOUIS MD
512 SAYBROOK RD SUITE 100
MIDDLETOWN, CT 06457-4788
Phone number: 860-347-7636
Copy
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