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1194038786
STANLEY WAYNE POWELL
BELLEVUE, WA
NPI
1194038786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AR OTR2311)
Enumeration Date
2010-07-23
Last Update Date
2010-07-23
Business Address
-- STANLEY WAYNE POWELL MS OTR/L
13073 SE 26TH ST APT D101
BELLEVUE, WA 98005-4262
Phone number: 479-651-8289
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Mailing Address
-- STANLEY WAYNE POWELL MS OTR/L
4 HILLS CT
ARKADELPHIA, AR 71923-5451
Phone number: 479-651-8289
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