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1699805929
BRADLEY DOUGLAS POWELL
BRYAN, TX
NPI
1699805929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 32062)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- BRADLEY DOUGLAS POWELL PhD
2400 BROADMOOR DR STE C
BRYAN, TX 77802-2870
Phone number: 979-774-9255
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Mailing Address
-- BRADLEY DOUGLAS POWELL PhD
2400 BROADMOOR DR STE C
BRYAN, TX 77802-2870
Phone number: 979-774-9255
Copy
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