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Individual

KRISTINA POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18733 SLEE RD, MANITOU BEACH, MI 49253-9741
(517) 467-2583
Mailing address
18733 SLEE RD, MANITOU BEACH, MI 49253-9741
(517) 467-2583

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112533
MI

Other

Enumeration date
01/27/2015
Last updated
01/27/2015
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