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Individual

PROF. MARY BOWLUS ELDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
26 CAROL DR, FREDERICKTOWN, OH 43019-1007
(740) 398-4144
Mailing address
15890 OLD MANSFIELD RD, FREDERICKTOWN, OH 43019-9795
(740) 398-4144

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
4204796
OH

Other

Enumeration date
01/30/2023
Last updated
03/02/2023
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