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Tamelra Powell
Driver in Montgomery, Illinois
NPI 1356763973

Tamelra Powell is a Driver based in Montgomery, IL. Tamelra Powell practices in Montgomery, IL. The NPI Number for Tamelra Powell is 1356763973 and holds a License No. 462608967 (Illinois).

The current practice location address for Tamelra Powell is 2352 Riva Ridge Rd, Montgomery, IL and can be reached out via phone at 630-966-2012 and via fax at 630-966-2010.

Location: 2352 Riva Ridge Rd, Montgomery, IL, 60538-3407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356763973
Provider Name
Tamelra Powell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2352 Riva Ridge Rd, Montgomery, IL, 60538-3407
Phone Number
630-966-2012
Fax Number
630-966-2010
Provider Enumeration Date
01/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2352 Riva Ridge Rd
City
Montgomery
State
Illinois
Zip
60538-3407
Phone Number
630-966-2012
Fax Number
630-966-2010
person
Provider Business Mailing Address Details
Address
2352 Riva Ridge Rd
City
Montgomery
State
Illinois
Zip
60538-3407
Phone Number
630-966-2012
Fax Number
630-966-2010
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
462608967 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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