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1215038880
ERIC C POWELL
DURANGO, CO
NPI
1215038880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CO PSY2927)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
ERIC C POWELL PSYD
2855 MAIN AVE STE A105
DURANGO, CO 81301-5959
Phone number: 970-382-6690
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Mailing Address
ERIC C POWELL PSYD
200 JENKINS RANCH RD
DURANGO, CO 81301-9483
Phone number: 970-247-2035
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