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1992762629
MARK WILSON POWELL
FAYETTEVILLE, AR
NPI
1992762629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: AR E1304)
Enumeration Date
2006-04-27
Last Update Date
2009-09-04
Business Address
MARK WILSON POWELL M.D.
3733 N BUSINESS DR SUITE 102
FAYETTEVILLE, AR 72703-5203
Phone number: 479-582-4647
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Mailing Address
MARK WILSON POWELL M.D.
PO BOX 9688
FAYETTEVILLE, AR 72703-0030
Phone number: 479-582-4647
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