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1962779744
LYDELL POWELL
FARMINGTON, NM
NPI
1962779744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2011-11-22
Last Update Date
2021-04-16
Business Address
LYDELL POWELL CSFA
1897 HOLLYHOCK CIR
FARMINGTON, NM 87401-4701
Phone number: 505-360-7709
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Mailing Address
LYDELL POWELL CSFA
1897 HOLLYHOCK CIR
FARMINGTON, NM 87401-4701
Phone number: 505-360-7709
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