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1568444958
MARK POWELL
SOUTH HILL, VA
NPI
1568444958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0101056024)
Enumeration Date
2005-11-19
Last Update Date
2008-04-28
Business Address
-- MARK POWELL MD
125 BUENA VISTA CIR
SOUTH HILL, VA 23970-1431
Phone number: 952-442-9770
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Mailing Address
-- MARK POWELL MD
400 E 10TH ST
WACONIA, MN 55387-4552
Phone number: 952-442-9770
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