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1073660551
JOHN W. POWELL
EAST LANSING, MI
NPI
1073660551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
Prof. JOHN W. POWELL PhD, ATC
105 IM CIRCLE
EAST LANSING, MI 48824-1020
Phone number: 517-432-5018
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Mailing Address
Prof. JOHN W. POWELL PhD, ATC
6461 PLEASANT RIVER DR
DIMONDALE, MI 48821-9707
Phone number: 517-646-6310
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