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Individual

COURTNEY L BOWERMASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1275 E SECOND ST, FRANKLIN, OH 45005
(937) 704-0809
Mailing address
5893 S DIXIE HWY, FRANKLIN, OH 45005-4362

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.017743-S
OH

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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