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Individual
JEANETTE VALVERDE POWELL
Active
Individual
JEANETTE VALVERDE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09317
TX
363A00000X
Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343485403
—
TX
01
—
343485404
CSHCN
TX
Enumeration date
09/26/2014
Last updated
05/19/2021
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