Individual
CHERRY LACRETA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
709 E OKLAHOMA BLVD, ALVA, OK 73717-7371
(361) 227-7355
Mailing address
709 OKLAHOMA BLVD, ALVA, OK 73717-2749
(361) 227-7355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
743
OK
Other
Enumeration date
08/31/2016
Last updated
03/20/2018
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