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1932300654
MATTHEW JUSTIN POWELL
CORBIN, KY
NPI
1932300654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- MATTHEW JUSTIN POWELL BS
1203 AMERICAN GREETING RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
-- MATTHEW JUSTIN POWELL BS
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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