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1205403870
JEMEL ANTONIO POWELL
JACKSONVILLE, FL
NPI
1205403870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
JEMEL ANTONIO POWELL
1130 W 28TH ST
JACKSONVILLE, FL 32209-4012
Phone number: 904-576-5756
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Mailing Address
JEMEL ANTONIO POWELL
1130 W 28TH ST
JACKSONVILLE, FL 32209-4012
Phone number: 904-576-5756
Copy
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