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Individual

DR. CHRISTA E.L. COORE-POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
8947 SW 107TH AVE, MIAMI, FL 33176-1412
(305) 595-0840
(305) 595-9119
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(561) 478-8770
(561) 688-8877

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1317
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0111553
GHI
FL
05
600465200
FL
Enumeration date
07/18/2006
Last updated
10/09/2008
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