Individual
JAMEY RAY BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 OAKVIEW DR, DUNCAN, OK 73533-1152
(580) 467-8376
Mailing address
1010 OAKVIEW DR, DUNCAN, OK 73533-1152
(580) 467-8376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871717900
YOUTH SERVICES
OK
Enumeration date
09/24/2012
Last updated
09/24/2012
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