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1235266883
JIMMIE ALLEN POWELL
INDIO, CA
NPI
1235266883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT24610)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- JIMMIE ALLEN POWELL MFT24610
83912 AVENUE 45 STE 9
INDIO, CA 92201-3338
Phone number: 760-347-0754
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Mailing Address
-- JIMMIE ALLEN POWELL MFT24610
72629 SKYWARD WAY
PALM DESERT, CA 92260-6023
Phone number: 760-674-1529
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