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Dejuan Powell
NPI 1649865924 · on the registry since 2021
Practice
- Address
- 12641 S State Highway 51
Coweta, OK 74429 - Phone
- (918) 486-1357
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma