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1497782106
RICKY A POWELL
SAINT LOUIS, MO
NPI
1497782106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 114408)
Enumeration Date
2006-06-27
Last Update Date
2021-11-01
Business Address
Mr. RICKY A POWELL PA-C
675 OLD BALLAS RD STE 100
SAINT LOUIS, MO 63141-7083
Phone number: 314-733-9009
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Mailing Address
Mr. RICKY A POWELL PA-C
675 OLD BALLAS RD STE 100
SAINT LOUIS, MO 63141-7083
Phone number: 314-733-9009
Copy
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