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Individual
MARY LYNN BOWLIN
Active
Individual
MARY LYNN BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
813042
CA
163WP0200X
Pediatric Registered Nurse
Primary
97227
CA
164W00000X
Licensed Practical Nurse
9182
CA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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