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1750643326
WADE A POWERS
FLOWOOD, MS
NPI
1750643326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MS AT0605)
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
WADE A POWERS
290 E LAYFAIR DR STE A
FLOWOOD, MS 39232-9526
Phone number: 601-987-8200
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Mailing Address
WADE A POWERS
290 E LAYFAIR DR STE A
FLOWOOD, MS 39232-9526
Phone number: 601-987-8200
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