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1174937619
BLAKE GORDON POWELL
OREGON, OH
NPI
1174937619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 6309)
Enumeration Date
2014-06-12
Last Update Date
2014-06-12
Business Address
-- BLAKE GORDON POWELL O.D.
3975 NAVARRE AVE
OREGON, OH 43616-3437
Phone number: 419-698-4949
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Mailing Address
-- BLAKE GORDON POWELL O.D.
3975 NAVARRE AVE
OREGON, OH 43616-3437
Phone number: 419-698-4949
Copy
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