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Individual
MARK BOWERS
Active
Individual
MARK BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FPMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009019530
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2015003166
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420020142
—
MO
Enumeration date
02/18/2015
Last updated
07/13/2018
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