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1598424749
GARREN MATTHEW POWELL
COLUMBIA, MO
NPI
1598424749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
GARREN MATTHEW POWELL
805 BOULDER DR
COLUMBIA, MO 65201-8553
Phone number: 660-287-0809
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Mailing Address
GARREN MATTHEW POWELL
805 BOULDER DR
COLUMBIA, MO 65201-8553
Phone number: 660-287-0809
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