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1184655094
CRYSTAL JEAN POWELL
SPRINGFIELD, MO
NPI
1184655094
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Former Name
CRYSTAL JEAN PETTIT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2006005289)
Enumeration Date
2006-07-06
Last Update Date
2021-07-28
Business Address
CRYSTAL JEAN POWELL MPAS, PA-C
3850 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807-5287
Phone number: 417-269-7290
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Mailing Address
CRYSTAL JEAN POWELL MPAS, PA-C
PO BOX 802843
KANSAS CITY, MO 64180-2843
Phone number: 417-730-6430
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