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1639383060
AVERY C. POWELL
FLOSSMOOR, IL
NPI
1639383060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019022452)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Dr. AVERY C. POWELL D.D.S.
1719 HEATHER HILL CRES
FLOSSMOOR, IL 60422-2041
Phone number: 170-822-8047
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Mailing Address
Dr. AVERY C. POWELL D.D.S.
PO BOX 232
MATTESON, IL 60443-0232
Phone number: 170-822-8047
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