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Individual

JESSICA ELIZABETH BOWLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CST

Contact information

Practice address
105 SUGAR CAMP CIR, SUITE 200, DAYTON, OH 45409-1962
(937) 222-3937
(937) 223-5254
Mailing address
105 SUGAR CAMP CIR, SUITE 200, DAYTON, OH 45409-1962
(937) 222-3937
(937) 223-5254

Taxonomy

Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
197849
246ZS0410X
Surgical Technologist
Primary
127877

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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