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1073154324
STEPHEN POWELL
MODESTO, CA
NPI
1073154324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA vn706017)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
STEPHEN POWELL
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
STEPHEN POWELL
7246 REMMET AVE
CANOGA PARK, CA 91303-1531
Phone number: 818-206-0360
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