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Individual
OCTAVIA DOWDELL
Active
Individual
OCTAVIA DOWDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
LP61220243
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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