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Individual

KYLE ANDREW MOWRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
304 S 22ND ST, TEMPLE, TX 76501-4726
(254) 298-7130
Mailing address
5353 LANCASTER DR, BELTON, TX 76513-5870
(818) 939-6482

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/06/2017
Last updated
01/06/2020
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