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1215989538
MARITA POWELL
JOHNSON CITY, NY
NPI
1215989538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 187655)
Enumeration Date
2006-05-16
Last Update Date
2010-08-05
Business Address
-- MARITA POWELL DO
40 ARCH ST
JOHNSON CITY, NY 13790-2102
Phone number: 607-763-6075
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Mailing Address
-- MARITA POWELL DO
58 LUSK ST
JOHNSON CITY, NY 13790-2541
Phone number: 607-763-6293
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