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1427255728
ALBERT JONATHAN POWELL
FAYETTEVILLE, NC
NPI
1427255728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 5297)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- ALBERT JONATHAN POWELL
1700 PAMLEE DR
FAYETTEVILLE, NC 28303-0887
Phone number: 910-488-2295
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Mailing Address
-- ALBERT JONATHAN POWELL
1710 ELDRIDGE ST
FAYETTEVILLE, NC 28301-3718
Phone number:
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