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1194700674
JEFFREY C POWELL
SHIPROCK, NM
NPI
1194700674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00040293)
Enumeration Date
2005-12-07
Last Update Date
2008-01-04
Business Address
-- JEFFREY C POWELL MD
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
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Mailing Address
-- JEFFREY C POWELL MD
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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