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Organization
MOBILE HEALTH TESTING SOUTIONS LLC
Active
Organization
MOBILE HEALTH TESTING SOUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GERARD BOWEN (CEO)
(765) 336-6655
Entity
Organization
Contact information
Practice address
2520 WITT RD, LEBANON, IN 46052-9593
(765) 336-6655
(765) 482-7658
Mailing address
2520 WITT RD, LEBANON, IN 46052-9593
(765) 336-6655
(765) 482-7658
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8913684721
DL
IN
Enumeration date
04/17/2019
Last updated
04/17/2019
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