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1578151361
DERWANDER POWELL
CHICAGO, IL
NPI
1578151361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209022580)
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
DERWANDER POWELL APRN
10343 S WESTERN AVE
CHICAGO, IL 60643-2410
Phone number: 773-238-2828
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Mailing Address
DERWANDER POWELL APRN
441 W 96TH PL
CHICAGO, IL 60628-1143
Phone number: 773-457-2795
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