Individual
DEVEN LAVELLE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 DALLAS RD, CHEYENNE, WY 82007-9313
(307) 689-3668
Mailing address
702 DALLAS RD, CHEYENNE, WY 82007-9313
(307) 689-3668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WY
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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