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Individual
MS. LISA MARIE BOWEN
Active
Individual
MS. LISA MARIE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL.AC.
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
Primary
AC 14202
CA
Other
Enumeration date
05/16/2013
Last updated
08/30/2013
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