JUSTIN ROBERT POWELL

SPRINGFIELD, IL
NPI1871034082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209016109)
Enumeration Date2017-03-20
Last Update Date2017-06-29
Business Address
Mr. JUSTIN ROBERT POWELL CRNA
800 E CARPENTER ST
SPRINGFIELD, IL 62769-1000
Phone number: 217-544-6464
Mailing Address
Mr. JUSTIN ROBERT POWELL CRNA
800 EAST CARPENTER STREET
SPRINGFIELD, IL 62702
Phone number: 217-544-6464
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