KELLY GRIFFIN POWELL

SPRINGFIELD, IL
NPI1922061332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164-000416)
Enumeration Date2006-04-07
Last Update Date2011-03-10
Business Address
Mrs. KELLY GRIFFIN POWELL RD, CDE
751 N RUTLEDGE ST RM 2300
SPRINGFIELD, IL 62702-4909
Phone number: 217-545-3821
Mailing Address
Mrs. KELLY GRIFFIN POWELL RD, CDE
PO BOX 19636
SPRINGFIELD, IL 62794-9636
Phone number: 217-545-3821
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