CREIGHTON DESHAWN POWELL

JONESBORO, AR
NPI1689103038
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AR  4169)
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
CREIGHTON DESHAWN POWELL
1699 STADIUM BLVD SUITE I
JONESBORO, AR 72401
Phone number: 870-336-0543
Mailing Address
CREIGHTON DESHAWN POWELL
1699 RED WOLF BLVD STE I
JONESBORO, AR 72401-5453
Phone number: 870-336-0543
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