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1205542982
KEMOY SHAVAR POWELL
BRIDGEPORT, CT
NPI
1205542982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16722)
Enumeration Date
2023-01-26
Last Update Date
2023-06-28
Business Address
KEMOY SHAVAR POWELL PA-C
1387 NORMAN ST APT B
BRIDGEPORT, CT 06604-1821
Phone number: 203-224-0965
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Mailing Address
KEMOY SHAVAR POWELL PA-C
1387 NORMAN ST APT B
BRIDGEPORT, CT 06604-1821
Phone number: 203-224-0965
Copy
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