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Individual

MRS. PATRICIA A POWLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17125 W MOHAVE ST, GOODYEAR, AZ 85338-1790
(623) 374-4040
Mailing address
17125 W MOHAVE ST, GOODYEAR, AZ 85338-1790
(623) 374-4040

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AZ

Other

Enumeration date
03/08/2007
Last updated
07/08/2007
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