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Individual
SHAUN R. POWERS
Active
Individual
SHAUN R. POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10971-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60583
DEAN HEALTH INSURANCE
WI
Enumeration date
01/29/2009
Last updated
11/11/2009
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