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1366199234
GERALD POWELL
OAKLAND, CA
NPI
1366199234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10976)
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
GERALD POWELL PTA
475 29TH ST
OAKLAND, CA 94609-3510
Phone number: 510-832-3222
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Mailing Address
GERALD POWELL PTA
590 EL DORADO AVE UNIT 205
OAKLAND, CA 94611-5072
Phone number:
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