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1114902780
STEPHEN H POWLESS
ST LOUIS PARK, MN
NPI
1114902780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: MN 348)
Enumeration Date
2005-12-07
Last Update Date
2012-07-06
Business Address
-- STEPHEN H POWLESS
3900 PARK NICOLLET BLVD PARK NICOLLET CLINIC SLP
ST LOUIS PARK, MN 55416
Phone number: 952-993-2794
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Mailing Address
-- STEPHEN H POWLESS
3800 PARK NICOLLET BLVD CREDENTIALING
ST LOUIS PARK, MN 55416-2527
Phone number:
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