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1699937763
GERALD POWELL
CANTON, MI
NPI
1699937763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501013845)
Enumeration Date
2008-06-30
Last Update Date
2014-06-16
Business Address
-- GERALD POWELL DPT
42955 FORD RD
CANTON, MI 48187-3377
Phone number: 734-981-2100
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Mailing Address
-- GERALD POWELL DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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