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Individual

JERALYN B BOWIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
214 MAIN ST W, BOX 416, CLARISSA, MN 56440-4500
(218) 756-2234
(218) 756-2427
Mailing address
214 MAIN ST W, BOX 416, CLARISSA, MN 56440-4500
(218) 756-2234
(218) 756-2427

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12701
MN

Other

Enumeration date
08/25/2009
Last updated
08/25/2009
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