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1912633835
LARA ANNE POWELL
FORT CARSON, CO
NPI
1912633835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN122749)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
LARA ANNE POWELL
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913-4603
Phone number: 719-526-5537
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Mailing Address
LARA ANNE POWELL
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913-4603
Phone number:
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