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1104131978
JERRY POWELL MAY
ROSEBURG, OR
NPI
1104131978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D9589)
Enumeration Date
2010-08-17
Last Update Date
2011-08-11
Business Address
Dr. JERRY POWELL MAY D.M.D.
2392 NW ESQUIRE DR
ROSEBURG, OR 97471-1702
Phone number: 954-290-0959
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Mailing Address
Dr. JERRY POWELL MAY D.M.D.
2392 NW ESQUIRE DR
ROSEBURG, OR 97471-1702
Phone number:
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