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Individual
VINCENT LAMARR POWELL JR.
Active
Individual
VINCENT LAMARR POWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN281973
OH
363L00000X
Nurse Practitioner
Primary
95003522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95003492
FNP
CA
Enumeration date
05/01/2007
Last updated
03/28/2016
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