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Individual
DR. BONNIE L MCDOWELL
Active
Individual
DR. BONNIE L MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1997
OR
225100000X
Physical Therapist
0890
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033068001
BLUE CROSS FOR PT LICENSE
OR
01
—
033068002
BLUE CROSS
OR
Enumeration date
08/01/2006
Last updated
11/13/2007
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