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1467034090
ANNA NICOLE POWELL SULLIVAN
AUSTIN, TX
NPI
1467034090
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Former Name
ANNA NICOLE POWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11205)
Enumeration Date
2021-04-23
Last Update Date
2024-07-23
Business Address
ANNA NICOLE POWELL SULLIVAN PA-C
310 COMAL ST STE 200
AUSTIN, TX 78702-4599
Phone number: 737-270-9500
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Mailing Address
ANNA NICOLE POWELL SULLIVAN PA-C
129 LEACROFT WAY
DURHAM, NC 27703-6703
Phone number: 919-656-5170
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