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1265917702
ALFONZO POWELL
PHILADELPHIA, PA
NPI
1265917702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
(Licence: PA 33813601)
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
ALFONZO POWELL
1905 W SUSQUEHANNA AVE
PHILADELPHIA, PA 19121-1547
Phone number: 267-231-6586
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Mailing Address
ALFONZO POWELL
PO BOX 50562
PHILADELPHIA, PA 19132-6562
Phone number: 267-231-6586
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