JACOB LEE POWELL

BANGOR, ME
NPI1710505144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME  AT777)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
JACOB LEE POWELL
925 UNION ST STE 3
BANGOR, ME 04401-3051
Phone number: 207-973-8839
Mailing Address
JACOB LEE POWELL
925 UNION ST STE 3
BANGOR, ME 04401-3051
Phone number: 207-973-8839
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