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1851660385
GREGORY JAVON POWELL
RAEFORD, NC
NPI
1851660385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TR0400X Psychologist, Rehabilitation
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
-- GREGORY JAVON POWELL BHRS
206 CROSSWINDS DR
RAEFORD, NC 28376-7502
Phone number: 919-438-9125
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Mailing Address
-- GREGORY JAVON POWELL BHRS
206 CROSSWINDS DR
RAEFORD, NC 28376-7502
Phone number: 919-438-9125
Copy
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