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1821547894
PHYLLIS THOMAS POWELL
TAMPA, FL
NPI
1821547894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: FL L16000017965)
Enumeration Date
2016-09-30
Last Update Date
2016-09-30
Business Address
-- PHYLLIS THOMAS POWELL BS
1310 FOUR SEASONS BLVD
TAMPA, FL 33613-2326
Phone number: 813-803-0315
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Mailing Address
-- PHYLLIS THOMAS POWELL BS
1310 FOUR SEASONS BLVD
TAMPA, FL 33613-2326
Phone number: 813-803-0315
Copy
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