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1699310508
AUTUMN POWELL
POTEAU, OK
NPI
1699310508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 114096)
Enumeration Date
2019-11-14
Last Update Date
2019-12-17
Business Address
AUTUMN POWELL FNP-C
204 WALL ST STE A
POTEAU, OK 74953-4400
Phone number: 918-647-2155
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Mailing Address
AUTUMN POWELL FNP-C
PO BOX 179
STIGLER, OK 74462-0179
Phone number: 918-967-3368
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