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1629809504
KAILLIE BROOKE POWELL
AMERICUS, GA
NPI
1629809504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Additional Taxonomies
124Q00000X Dental Hygienist
(Licence: GA DH045491)
Enumeration Date
2024-08-12
Last Update Date
2024-08-20
Business Address
KAILLIE BROOKE POWELL RDH
101 MAYO ST STE A&B
AMERICUS, GA 31709-3695
Phone number: 229-924-4647
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Mailing Address
KAILLIE BROOKE POWELL RDH
101 MAYO ST STE A&B
AMERICUS, GA 31709-3695
Phone number: 229-924-4647
Copy
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