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1073121166
KIRA JEANNETTE POWELL
BIG LAKE, MN
NPI
1073121166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D14409)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
KIRA JEANNETTE POWELL DDS
20460 COUNTY ROAD 11 NW
BIG LAKE, MN 55309-4851
Phone number: 763-263-7100
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Mailing Address
KIRA JEANNETTE POWELL DDS
PO BOX 308
MONTICELLO, MN 55362-0308
Phone number: 763-263-7100
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