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1306665161
JAIDEN BROOKE POWELL
WINSTON SALEM, NC
NPI
1306665161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A8233)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
JAIDEN BROOKE POWELL PTA
1199 HAYES FOREST DR
WINSTON SALEM, NC 27106-3377
Phone number: 336-759-1044
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Mailing Address
JAIDEN BROOKE POWELL PTA
1199 HAYES FOREST DR
WINSTON SALEM, NC 27106-3377
Phone number:
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