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Individual

SONDRA BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6315 OAK RUN DR W, OLIVE BRANCH, MS 38654-4817
(901) 825-5723
Mailing address
6315 OAK RUN DR W, OLIVE BRANCH, MS 38654-4817
(901) 825-5723

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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