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1851502512
DIANE HENNACY POWELL
MEDFORD, OR
NPI
1851502512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: OR MD25438)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
DIANE HENNACY POWELL M.D.
245 VALLEY VIEW DR
MEDFORD, OR 97504-6973
Phone number: 541-770-3171
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Mailing Address
DIANE HENNACY POWELL M.D.
245 VALLEY VIEW DR
MEDFORD, OR 97504-6973
Phone number: 541-770-3171
Copy
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