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1124034020
KIM GORDON POWELL
OREGON, OH
NPI
1124034020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 3262 T201)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. KIM GORDON POWELL O.D.
3975 NAVARRE AVE
OREGON, OH 43616-3437
Phone number: 419-698-4949
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Mailing Address
Dr. KIM GORDON POWELL O.D.
1326 S COY RD
OREGON, OH 43616-4140
Phone number: 419-698-4949
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