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Individual

DR. GERALD (JAY) RALPH POWERS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
211B SOUTH GOMEZ AVE., TAMPA, FL 33609-3124
(813) 870-0919
(813) 870-0063
Mailing address
211-B SOUTH GOMEZ AVE., TAMPA, FL 33609-3124
(813) 870-0919
(813) 870-0063

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0006211
FL

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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