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Individual

MR. GEORGE MARC POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1 TRINITY PL, SAN ANTONIO, TX 78212-4674
(210) 999-8293
Mailing address
229 E HUISACHE AVE, SAN ANTONIO, TX 78212-3031

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1935
TX

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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